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PAGE 1 OF <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 Index & Cover Sheet <br /> Pg 2 of Plot Plan <br /> Pg 3 of Dispersal Area Cross-Section & Plan View <br /> Pg 4 Management Plan <br /> Attachments: Enclosures: <br /> POVVTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name ! Description <br /> Owner Name(s): c�v u"L"� S w` `-, Phone: - - <br /> Owner Address: kk V 11 k `'- ` V( colt/milk/5 '"Zip: 5 ^>`" ZS^ <br /> Project Address: " `` <br /> Govt. Lot: a: 1/4 of 1V k 4'/4, Section 1 , T c1 N-R / LEE or W C <br /> Township: County: "`t . <br /> Project Parcel ID#: hot t Z - I Z 2- ?v <br /> Designer Information <br /> Designer Name: Ylip c �"' Phone: - 23- `�5/ <br /> 9 fd ��jJr �S !AIL Zip: 7GlzS` <br /> Designer Address: Q o J'`, 7— L (� t <br /> p LJU,`(. `iJtI�C_ f _1 1-1iii,';t?ureC,:,;r,'<.diu� ,t1"" li5i,1, F. <br /> E-mail: • r•c) <br /> License <br /> Number: Z zoNt� <br /> Remarks: <br /> Date: �� � <br /> Signature: r / <br /> g Original signature required on each submitted copy. <br />