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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 /> P_0WTS_App1ication_fnr Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): Ja �� Dcsr,-, Cl GNko J'�0" Phone: .2U- d'l LI 3 <br /> Owner Address: 3"70 Go,,4-y 4p y I v d Zip: <br /> Project Address: 3 7 <br /> Govt. Lot: 1/4 of N 1/4, Section �s ' T3 g N-R_1�E❑or W <br /> Township: L4 o I I e-H County: <br /> Project Parcel ID #: o ? 0, ( a 3 S IS— a h a 0 a Od b 'J /1 0 0 0 <br /> Designer Information <br /> -Designer-Name: UA-10\ Dy 4r C / -P-hone:- S L( - U1140 <br /> Designer Address: M 5 c1 �4 l Y/ moi/ l l 5(J'� °t Zip�j `{'3J i <br /> �E-mail: k u rc l., ft1 f wt , f C 014'� This space reserved for approval stamp. <br /> License Number: a 5_34Z, tZ <br /> Remarks: <br /> I <br /> Signature: Date: <br /> Original signature required on each submitted copy. <br />