Laserfiche WebLink
ADDRESS'; <br /> <br />SECTION: TOWNSHIP: <br />TAX LOT NO: <br /> <br />SITE EVALUATION <br />FILE NO: <br /> <br />RANG E: <br /> <br />SOIL <br />Mottlin$,~ <br />Eff. Soil <br />Depth,, <br /> <br />SYSTEM MUST BE INSTALLED AS SHOWN: <br /> <br />Test Holes: 0 = Acceptable; <br /> <br />Not Acceptable <br /> <br />SYSTEM DESIGN <br /> <br />Daily Sewage Flow: <br />Tank: <br /> <br />Drainfield: <br />DistributiOn: <br />Type of System: <br />Trench Depth: <br /> <br />Rock Depth: <br /> <br />Minimum Backfill: <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 applicabl~ LCDC-acknowledged local cemprenhensive land use plans and implementing <br />measures or the Statewide Planning Goals. Authorized Agent approval is~eqnired ~efore <br />a construction permit can be issued. <br /> <br /> SANITARIAN: <br /> <br />The proposed site of the sewage system installation has been reviewed and approved by the <br />M~rion County Sanitarian. <br /> <br /> PERMIT NO: <br /> DATE: SANITARIAN: <br /> <br />This permit expires one year from date. <br /> <br />RRF/car <br /> <br /> <br />