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SECT%ON: 13 TOWNSHIP: <br />TAX LOT NO: <br /> <br />SITE EVALUATION <br />F%LB NO: <br /> <br />#1 #2 #3 #4 <br /> <br />Mottli~ <br /> <br />Elf. <br /> <br />SYSTEM MUST BE INSTALLED Ag SHOWN: <br /> <br />'rest Holes: 0 ~ Acceptable; ~ = Not Acceptable <br /> <br />SYSTEM DESIGN <br /> <br />Daily Sewage Flow: <br /> <br />prainfield: <br />Distribution: <br />Type of <br />Tremch Depth:~ <br />Rock Depth: <br /> <br />Minimum Backfill: <br /> <br />COMMENTS <br /> <br />This document ia a technical report for on-site sewage disposal only. It may be converted <br />to a permit ~nly if, at the time of application, the parcel has been found to be compatible <br />with applicable LCDC-acknowledged local comprenhensive land use plans and implementing <br />measures or the Statewide Planning Goals. Authorized Agent approval is~e~uired before <br />a construction% permit can be issued. ~ <br /> SAi~ITARIAN: <br /> <br />The proposed site of the sewage system installation has been reviewed and approved by the <br />Mari~n County Sanitarian. <br /> <br /> DATE: F~--~'~ ~ ~ SANITARIAN: -- __ <br /> <br />This permit expires one year from date. <br /> <br />RRF/car <br /> <br /> <br />