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PAGE 1 OF 4 <br /> Holding Tank Plan <br /> • <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10855-P (N. 03/07; R 01/12) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Holding Tank Specifications <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map (if applicable) <br /> Holding Tank Pumping Contract (if applicable) <br /> Holding Tank Agreement (if applicable) <br /> Project Name I Description <br /> Owner Name(s): rey!'", AA, Phone: - - <br /> Owner Address: / Mar- R4 Graft/5474P: J-veYa <br /> Project Address: <br /> Govt. Lot: / 1/4 of 1/4, Section 2/ , T N-R /S E C or w F <br /> Township: 7-1i€ County: (:1r <br /> Project Parcel ID#: /g°-2i-5-05---e 3 -2 5/// <br /> Designer Information <br /> Designer Name: Zig t 04^/Sc Phone: - ll// <br /> Designer Address: . '5 z j/,571h Sr /-'t'c ertc<- Zip: 6--Vg--, 7 <br /> E-mail: this space re:;erved tur ap rrYv I stamp. <br /> License Number: <br /> Remarks: <br /> Signature: I Date: e-2"--- --Z-en <br /> Original signature required on each submitted copy. <br />