Laserfiche WebLink
NAME: <br /> <br />~DDRESS: <br /> <br />SECTION: _~TOWNSHIP: /O~RANGE:~--~~- <br /> <br />TAX LOT NO: <br /> <br />SITE EVALUATION <br />FILE NO: <br /> <br />~ ] l #2 //3 #4 <br /> <br />SOIL <br />~t l. tng: __, '~ ~-'-~ · <br />. Soil <br />l)cpt.h~ <br /> <br />SYSTEM MUST BE INSTALLED AS SHOWN: <br /> <br />II <br /> <br /> SYSTEM DESIGN <br />Daily Sewage Flow:~ <br />Tank: /O~) ~~ <br /> <br />Orainfield: ~_)r <br />Oistribnti°n:~A3~ <br /> <br />Trench Deptht~.j~z> <br />Rock ~pth: i,~':' <br />Minimum Backfill: <br /> <br />COF~{ENTS: <br /> <br />Test Holes: O = fil Not Acceptable <br /> <br />21yls document is a technical report for on-site sewage disposal only. It may be converted <br />to a permit onl7 if, at the time of application, the parcel has been found to be compatible <br />with applicable LCDC-acknowledged local comprenhen$ive land use plans and impjementing <br />measures ~r the Statewide Planning Goals. Authorized Agent approval is refluX/red before <br />a construction permit can be issued. .~/f~ --_ <br /> <br />........... itllll(~[!:la/ IIIIIII IIIII <br /> <br />The proposed site of the sewage system installation has been reviewed and approved by the <br />Mnrloa County Sanitarian. <br /> <br /> PERMIT NO: 439 i,/~///~/~~ <br /> DATE: ]0/30/84 SANITARIAN: <br /> <br />This permit expires one year from date. <br /> <br />RR]!'/car <br /> <br /> <br />