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SECrZON: /~ T0WNS~ZP: $Z~ ~A~¢E.7 ~ <br /> <br />TAX LOT NO: <br /> <br />SITE EVALUATION <br />FILE NO: <br /> <br /> SYSTEM DESICN <br />Daily Sewage Flow: <br />Tank: <br /> <br />#1 #2 #3 #4 <br /> <br />SOIL <br />Mottling:I' " <br />Elf. Soil ~ <br />---, Depth t <br /> <br />SYSTEM MUST BE INSTALLED AS SHOWN: <br /> <br />Distribution: ~-~' - <br /> <br />Type of System:~/qC=~-~A~. <br /> <br />trench Depth: ~.2q~ <br />Rock Depth: ~.~..~' <br />Minimom Backfill: <br /> <br />COMMENTS: <br /> <br /> ..........~ .~-' ,..~_ _ _.-.. ......... · ' ~. <br />..........~~~' '~' ' '-~~~4~i~...~ = " ~~ o~. ~-~-----,"~ <br /> ~i~ document i~ a technical report for on-si~e 8~age disposal o~y. %~ may be converted <br /> to a petit only if, at che time of application, the parcel has been found to be com~atible <br /> with applicable L~C-ac~owledged local comprenhensive land u~e plan~ and im~ementing <br /> measures or the Stat~ide Pla~ing Goals. ~thorized Agent approval is ~q~ed ~fore <br /> <br />The proposed site of the sewage system installation has been reviewed and approved by the <br />Marion County Sanitarian. <br /> <br />This permit expires one year from date. <br /> <br /> <br />