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APPLICATIO~ TO ser no. 2-75-26 <br />DEPARTMENT OF E~VIRO~ME~TAL QUALI~ <br />FOR <br />STATEMENT OF FEASIBILITY FOR PROPOSED SUBSURFACE SEWAGE DISPOSAL <br /> <br />rec. #4867 <br /> <br />RETURN TO: <br />Marion County He~th Depart~e~ <br />Salem, Oregon 97301 <br />Phone: 588-5346 <br /> <br />FEE SCHEDULE: <br />Non-refundable $25.00 <br />per lot to be submltt~d <br />~ith application. <br /> <br />DESCRIPTIOM O[ PARCEL (Attach Plot Plan as Exhibit A) , <br /> Seation~ i; row~s~/,$; Range/~; County of /~ Orzgon~ Tax lot <br /> <br /> ,, /?0o <br /> <br />PR~0SED USE OF PARCEE ANti.SIZE <br /> <br />PR~-~S~GNATE~ £~ND USE, Z~N~ ~ND NAME 0F gE~'f~N I ,,, <br /> <br />~a~h~d ~ Ex~b~ A. <br />WOTE: The M~gn Co~y H~h Dep~z~, ~ co~a~ agz~ for the D.E.Q., m~t <br />aompl~ a s~z invasion bzfor~ a s~z~ ~n be given. In o~d~ to v~fy <br />so~ typ~ and d~ine t~ s~b~y~ ~ ~ often hearsay to r~ two <br />(2) so,~ ~t hol~ 5 ft. dzzp and 75 ft. ap~ in the ~ea F~oposed for th~ s~gz <br />syst~. Ygu ~ bz eo~a~d if find ~v~on in~ a n~zd for such <br />hotzs. Te~t hol~ r~ ~zd for more t~n one p~. T~ repo~, when <br />~ompl~ed, ~ not ~i~bz the need for req~ed p~n~g comm~slon approve, <br />b~ng or loa~gn p~. <br /> T~t hol~ ( ) have been ~zp~zd t ) w~ bz prepped by <br /> * <br /> <br />I HEREBY REQUEST FROM THE DEPART~,~ENT OF ENVIRONMENTAL OUALITY A STATEMENT OF APPROVAL <br />O~ T~E ABOVE METHO~ OF SEWAGE DISPOSAL ~OR TH~ ABOVE DE-SCRIBED PARCEL. , <br /> <br />Commz~ and rz~o~me~o~ b~ed on Subs~face S~z Inv~a~on by DEQ or Co~a~ <br />Age~: <br /> <br />~he soi~ ~re ~i~r ~o ~dburn ~i~ ~o~. Si~ ~ ~ a~ 2~ inches ~h ~u~e~ <br />soil a~ 2~ in~he~ ~ ~ res~r~c~e ~e~ a~ 2B inche~ ~o ~O inches. ~o s~ndin~ ~er <br />obse~ed in ~es~ ho[e~. ~pro~ed For one home~e on ~pp~oxima~e~ ~2~ a~re~ pendin~ <br /> <br /> Marion County . 3 15 75 <br />AMen~ Sx~e Dante - - <br /> <br /> Sta~menZ of DEQ R~Y~ve to Abov~ App~on <br /> <br /> The above d~bffd m~hod of s~e ~poSal ~ approved subj~ tg the <br /> fo~o~n~ aon~ons: <br /> <br />above described m~hod of s~age d~posal is not approved for the fotlow~ng, <br /> <br /> <br />