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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> WITH DOSE CHAMBER <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: b A-A) /, <br /> Owner's Address: 7 VC D 2.c A-4-c1 7 4-c 1U. <br /> /11 e-l�J I7o j/1)i J S `/ ? <br /> Site Address: 7/ b j'// r` <br /> Legal Description: ,pc.I S c1..' N e" S v77 r9/,1,r/I cJ <br /> Town: SCJ /SS <br /> County: BURNETT <br /> S ston/CSM: V I /` ,27c) Lot No. 7 Block No. —" <br /> PIN: 07 03'2 -2 9/ / 7 / o3 ocoo ,/.90Oe <br /> Page Index <br /> Page 1 Index and Title <br /> Page 2 Plot Plan(may include septic tank and filter specs) <br /> Page 3 Distribution Cell(s) Cross Section <br /> Page 4 Dose Chamber Cross Section(with ST & filter specs) <br /> Page 5 Pump Curve and Specs <br /> Page 6 Maintenance, Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No.227691 <br /> Plumber Address: P.O. BOX 514, SIREN, WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature: <br /> Date: — 2 -zU <br />