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CONVENTKONA* IN-ViROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: (5aP1e5 Los l nyl <br /> Owner's address: 70$ Fe-oi4a le <br /> AaeJ wood /14 Np�5�1 q <br /> Site Address: 6677 Pt 1te _8e od Rd • p / <br /> Legal Description: N E�y , S W� 52 ? T 3 9 NA 1 C �t/ <br /> Town: M e e Yl p 1� <br /> County: f)&I or n e <br /> Subdivision Name: Lot No. Block No. <br /> Parcel Identification Number: Q7-O/8-Z39-/(0 ?73 01-0CX)-01)gby <br /> Page Index <br /> Page I Index and Title <br /> Page 2 Plot Plan <br /> Page 3 Distribution Cell(s)Cross Section <br /> Pe)c 4 Naw1��t�e,htaH ma.t C.o! Co &. Saticy Ibis <br /> Page 5 Maintenance,Management and Contingency Plans <br /> Plumber Name: W-4 /AnJ/4w Credential No. ZSQ 3iy <br /> Plumber Address: N i✓y E <br /> Signature: (� ��ll A ,�✓WA o /�A <br /> Date: Iny �' V / Phone No. 7)S 76C-3'1 /3 <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01101),and <br /> SS WMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81) <br /> Page I of <br />