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RETURN TO: <br />Marion county Health Department <br />3180 Center St. NE, Room 220 <br />Salem ~ Oregon 97301 <br /> <br /> DSPARTMENT OF ENVIRONMENTAL QUALITY ser. aa. 8-76-33 rec. ~3881 <br /> FOR <br />STATF24ENT OF FEASIBILITY FOR PROPOSED SUBSURFACE S~AGE DISPOSAL <br /> <br /> Non-ref~dable $25.00 per lot <br /> to be submitted with <br /> application. <br /> <br />DESCRIPTION OF PARCEL (Attach ~lot Plan as Exhibit A) <br /> Section ~Z- ; T~wnship ~ ..... ~ Range ; County of ~2_~, Oregon, Tax lot <br /> Narrative Description: <br /> <br />? SEN?L¥u <br />S~ l~ation of Pr0~sed s~s~fuce sewaoe syst~ or syst~s on the Pl0t P~ which <br />attached as Exhibit A. <br />~: ~ Marion Catty Health ~p~ent, as cannot agent for the D.E.Q., ~st complete <br />a site inves~gation ~fore a statement c~ ~ given. ~ order ~.~werify ~fl t~es <br />dete~ine ~s s~tability, it is often necess~y ~ req~re ~ (2) ~1 ~st ~les 2 ft. <br />~ 3 ft. wide ~d 4 ft. deep ~d 75 ft. ap~t in ~ ~ea ~po~d for the s~age <br />You will be contacted if field inves~ga~on indica~s a n~d for such ~les. Test <br />~e required for ~re ~ one p~cel. ~s re~rt, w~n c~pleted, will ~t el~lna~ the <br />need for r~utr~ planing c~lssion approval, ~l~ng or locatf~ <br /> ~$t ~le$ ( ) ~ve ~en ~ep~ed ( ) will be prepped ~ ........ (date) <br /> <br />I H~Y R~Q~T F~M ~ D~NT OF E~I~NT~ QU~ITY A STAT~NT ~ F~ILI~ OP <br /> <br /> (f~ D~Q or Agen% ~e only) <br /> <br />~ents and re~enda~o~ based on S~s~face Si~ ~ves~ga~on ~ D~ or Con~ac% A~en~ <br /> <br />The soil is similar to a Woodburn silt loam. Silty clay loam was encountered at 24" <br />aud fsin~ mottlln~ s~ <br /> <br />The two parcels are approved for subsurface sewage disposal. <br /> <br />Apent Mar~on, Cgug~y Signature~~ ~ ~ <br /> Statement of DEO Relative to Above Appl~cation <br /> <br /> The above described method of sewage disposal is approved aub~ect to the following <br /> conditions: ----~ <br /> <br /> The above described method of sewage disposal is not approved for the following reasons <br /> <br />For the Department of Environmental Quality: <br /> <br />F~H-50 Rev. 4/76 <br /> <br /> cc: Marion Co. Planning Commission <br /> <br /> <br />