Laserfiche WebLink
APPLICATION TO <br /> DEPARTMENT OF ~YIRONMENTAL QUALITY <br /> FOR seE. no. 7-75-33 <br /> <br />~TATEMENT OF FEASIBILITY FOR PROPOSED SUBSURFACE SEWAGE DISPOSAL <br /> <br />RETURN TO: <br />Marion C~unty Health Department <br />Salem ~ Oregon ~7301 <br />Phone: 588-5346 <br /> <br />PEE SCMUDULE: <br />Non-refundable $~.00 <br />per lot to be $~b~itted <br />with applic&~ion. <br /> <br />DESCRIPTION ~F PARCEL (Atta. c~ Plot Dlan ~s Exhibit A) <br /> <br />PROPO~FD USE ~ P~C~ ~D ~T S~E ~h~ ~oPe~:Y ls ~o be usaa for the <br />PRESENTLY D$S~GNATED ~D USE~ ~ING, ~ N~ O~.DESIGNATING AGENCY <br /> <br /> ~w l~a~°n of pro, sad subs~ace syst~ Qr syst~s on ~ ~i~t pl~ w~ is <br />at%ached as Ex~ A. <br />NOT~; The M~ion ~ty ~alth ~p~ent, as =~n~ac% agent ~or t~ D.E.Q., must <br />complete a site inves~ga%ion ~fore a sta~en~ c~ ~ given. ~ ~der to uerify <br />soil t~e~ and dateline t~s s~t~tlity~ it is ~ften necess~y ~ req~re t~ <br />(2) soil t~% ~les 5 ft. deep ~d 75 ft. a~t in ~e ~ea p~sed for the sewage <br />system. You will ~ con~aC%~ if field inves~ga~on indicates a need for much <br />~le$. T~s% ~les ~e ~eq~red for more =h~ one p~cel~ ~S re~rt, w~n <br />complcted~ will not ~li~inat~ the need f~r =e~r~ pl~ng ~lssion <br />building o~ location pe~%s. <br /> Test ~le~ ( ) have ~en DEep=ed ~ ) will ~ prep~ by ~.~ly 24. 1975 <br /> <br />I MEREBY REQUEST FROM THE DEPARTMENT OF ENVIRONMENTAL QUALITY A STATEMENT (lB APPROVAL <br />OF THE ABOVE METHOD OF SEWAGE DISPOSAL FOR THE Aj~OVE DESCRIBF~D ~ARCEL. <br /> <br />Nam~ Of Applican~ Opr~orld... R. Bean J~. $ignat~e of Applican ' <br />Address of A~plfcant ~0 ~nd. <br /> <br />~ents and ~eco~endations based on subs~face $i~ ~vesti~a~on by DEQ or Con.ac% <br /> <br /> able 2& i~he$. ~s ~y ~ ap~ ~ Se~e~er 1~3 ~ t~t ap~ov~ w0~d <br /> be hon~ed ~o~ng a ~% ~ co~s~c% ~h$ sew~ ~tem is a~ied fop ~or to <br /> Se~e~er ~, ~5. Si~e ~he ~Y does ~ ~et c~ re~ati~s, we co~ <br /> ~t ap~ the p~o~y <br /> ~tb the pl~ appmov~ ~ Se~emb~ of 1973. <br /> <br />Agent MSriO~ 0ounti ~Signatu~e Date 7-30-75 <br /> <br /> Statement of D~Q Relative to Above ApDlication <br /> <br /> <br />