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Rec.#7597 <br /> <br /> A/TLZCATI0~ TO <br /> DwPA~T OF ~UJIR0~kL~UALIIY Set. Mo. 1-78-19 <br /> ...... <br /> STAT~ OF ~SX~IL~ F0~ ~aODOS~D SU~A~ <br /> <br /> /-//- <br /> ' .' ,.--~ No~-ref~dable $37.50 per lot <br /> Marion County Health ~gar~nt~ ....... <br /> <br /> ~ar~suive Description. ~ ~0 ~ <br /> ..... ' ' I <br /> <br /> If ~or a oo~rcial b~e~a or re,tauruS, W~ n~ed to ~ ~h~ n~r o~ employees and/ <br /> ~e <br /> <br /> Yfs~ ~os~s ~~ts ~ ' ............ <br />~ You will not need to dig ~est holes ~le~s <br /> <br /> ~d 4 f=. deep, and 75 f~. apart ~n ~he proposed area~. <br /> Teac hole~ ( ) huve b~n prepared ( ) ~11 be prepared ~y .... (~'~) .... <br /> ~IS ~POKT ~S NOT A F~. ~r does DOC elim~ate ~e need for required planning co~ls- <br /> ~on approval, buildi~g~ Ot location <br /> <br />City, State, Zip Code <br /> <br />Ti=le__Owuer,~ A~ent ,, <br /> <br /> (for ~q Or Zge~= u~e ouXy) /--/3 -TP <br />Co~en~s and reco~udatioa~ based on SubsurfaCe Site Xnvestigat~on by DEQ or ~ntract A~c: <br /> <br />SOil iS simil, a~,~ to. Jozv sil%-~, clay loam. Silty~lay at 2~". Approved <br />pendiz~ mpee~.xlc p±o~ plan wroth permi~ applica~io2'. ' <br /> <br />Statement of DEq/Cont~.ac~. AgEnt Relative $o Above Application <br /> <br /> <br />