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ADDRESS: <br /> <br />S CrrON: l'X TOWNSNn': t/S <br /> <br />TAX LOT NO: <br /> <br />SITB EVALUATION <br />FFLE NO: <br /> <br />RANCE :d~ <br /> <br /> SOIL <br /> <br />Mottling: <br />F, ff. Soil <br /> Depth ......... <br /> <br /># 2 <br /> <br />#4 <br /> <br />SYSTEM MUST BE INSTALLED AS <br /> <br />SYSTEM DESIGN <br /> <br />Daily Sewage Flow: <br />Tank:[C~)~ <br />Drainfield: <br /> <br /> Oistribution:~--v~gt;~._~ <br /> ~ype of System:~-~DqOD~O <br />French Depth: ~7~- <br />Rock Depth: [~b'~ <br />Minimum Backfill: [~_~ <br /> <br />COMMENTS: <br /> <br />'[est 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 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 an~.~m~lementing <br />measures or the Ststewide Planning Goals. Authorized Agent approval is'~ ' ' ''~e~$red before <br />a construction permit can be issued.////~4 b[/~[//J~-- <br /> <br />lhe proposed site of the sewage system installation has been reviewed and approved by the <br />Marion 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 />