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DATE: ,,, 7' ~- - ~- <br />SECTION: ~ TOWNSHIP: ?~ RANGE: 160 <br />TAX LOT NO: ~O/-1.[.~.,-'~ ~ ~ ........ <br /> <br />SITE EVALUATION <br />FILE NO: <br /> <br />SOIL <br /> <br />MottJing: <br /> <br />Elf. Soil. <br />...... Depth_ <br /> <br />SYSTEM MUST BE <br /> <br />SYSTEM DESIGN <br /> <br /> )ally Sewage Flow: <br /> Tank: ~ <br /> Drainfield: /~ <br /> Distribution:. <br /> Type of System:~7~Ajm~+~$ <br /> Prench Depth: <br /> <br /> Rock Dep~: <br />~inimum Backfill: <br /> <br />]OMMENTS: <br /> <br />Test Holes: 0 = Acceptable; ~ = Not Acceptable <br /> <br />This document is a technical report for on-site sewage disposal only. It may be converted <br />to a permit ~5~y if, at the time of application, the parcel has been found to be compatible <br />with applicable ~CDC-acknowledged local comprenhensive land use plans and im~.e'menting <br />measures or the Statewide Planning Goals. Authorized Agent approval is ~red ~e~ore <br />a construction permit can be issued. //~ ~ <br /> SAZI TARIAN: /f~,,w'~/~ <br /> <br />] J~ii[J~[JtJL--'lll I IIIII <br /> <br />Fha proposed site of the sewage system installation has been reviewed and approved by the <br />~a£~on County Sanitarian. <br /> DATE:FERMI% NO: Z/--//'~-~-~-..7.3 ~/ ~ <br /> <br />This permit expires one year from date. <br /> <br />}~RF/car <br /> <br /> <br />