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SITE EVALUATION <br />FILE NO: <br /> <br />~l #2 ~3 #4 <br /> <br />SOIL <br /> <br />Mottling: <br />Elf. Soil <br />, Depth <br /> <br />SYSTEM MUST BE INSTALLED AS SHOWN: <br /> <br /> SYSTEM DLS I¢.N <br />~ Sew~a~e 'Flow: ..... <br />Tank: ~_~ ~" I <br /> <br />Drainfield: <br />D__~ tribution: <br />Typo of <br /> <br />Rock Depth: <br /> <br />Minimum gackf~ <br /> <br />= 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 only 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 imp~menting <br />mcasures or the Statewide Planning Goals. Authorized Agent approval is r~q~ed ~ore <br />a construction permit can be i ss.ed. //~~ <br /> <br /> SAN%TARIAN: <br /> <br /> The proposed site of the sewage system installation has been reviewed and approved by the <br />Marion County Sanitarian. /,~-fl <br /> <br /> PERMIT NO: , <br /> <br /> DATE: __-~Z/~&9~J SANITARIAN: <br /> <br />This permit expires one year from date. <br /> <br />[LRF/car <br /> <br /> <br />