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SECTION: /.... TOWNSHIP: ~__RANCE: ~ <br />TAX LOT NO: <br /> <br />#1 #2 #3 #4 <br /> <br />SO%L <br />Mot~lin~:..... ~ ...... / <br />gff. Soil <br /> Depth ..... <br /> <br />SYSTF_MMUST <br /> <br />TALLED AS <br /> <br />Test Holes: 0 ~ Acceptable; ~ = Not Acceptable <br /> <br /> SYSTEM DESIGN <br />)aily Sewagp Flow:~ <br />Tank: /~ <br />Drainfiald: %. ~ <br />Distribution: '~.~ <br />Type of System: <br />Trenc~ Depth: <br />Rock Depth: <br />~inimum Backfill: <br /> <br />This document is a technical repor~ for on-site sewage disposal only. It may be converted <br />tO a permit only if, a~ the time of application, the parcel has been found to be compatible <br />wigh applicable LCDC-acknowladged local eomprenhensive land use plans and~mple~enting <br />measures or the S~atewide Pla=lng Goals, Authorized Agent approval i~uir~ b~efore <br /> <br /> SA~ZTA~AN; f~z'~ _ <br /> <br />The proposed site of zhe sewage system installation has been reviewed and approved by [he <br />Marion County Sanitarian. <br /> <br /> DATE: ,~-~ / ?--~'~.~ SANITARIAN: w <br /> <br />Th~s permit expires one year from date. <br /> <br />F/F/car <br /> <br /> <br />