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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10705-P (N.01/01, R. 10/12) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name/ Description <br /> Owner Name(s): ��j r / k c� � )j€/ Phone: - 1 c -7 <br /> Owner Address: g,�C 1 C1 5 is ,4S�f- , e ci r* pc LdB. g'ir. 4'0:95 <br /> Project Address: 40 ' cl*y C "ileus feKW' I 5 4 V5 <br /> Govt. Lot: N VI 1/4 of 1/17'V 1/4, Section 2Z. , T 4' D N-R 1 ® E Dor w <br /> Township: Qc x /4 t'?d County: -go I <br /> Project Parcel ID#: O 7- 020- Z- -L/0--)6,-Z L-3 Z -00r) O)/ 0 dO <br /> Designer Information <br /> Designer Name: ex t S ez-,(?4 Phone:7J� - ���c <br /> Designer Address: W7003 A I yo� G �] �;�J�(� ip c- (1 0 <br /> E-mail: b- i �G C / • AA' This space reserved for approval stamp, <br /> License umber: -yr 10(-7 <br /> : <br /> Remarks: <br /> Signature: Pe$ d <br /> gDate: Z 6-00 <br /> Original signature require.on each submitted copy_ <br />