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Septic Site Plan <br /> 555-23-008380-PRMT T5) ECEENEn <br /> NEWKIRK, ROSS&NEWKIRK, SHELLEE RESIDENTIAL DEVELOPMENT <br /> 12 <br /> 17605 PAINTER LOOP NE, HUBBARD - OCT O 2�?� <br /> 041 W34CC00400; 1.80 acres <br /> MARION COUNTY <br /> TAXLOT Total Acres3.1 BUILDING INSPECTION <br /> ❑ Drawn to Scale: •❑ Not Drawn to Scale -OR- 1 square= feet <br /> T1 T <br /> • <br /> • • • <br /> ,• • • .e•`er , ° <br /> . , . . ,..fe,A. ,. <br /> o. ..„, 0,r,,.,,T„,, .„ <br /> ,.0 . . TY N ‘ 1 & v , . . . . \1:1 <br /> VP 5 < . <br /> vl <br /> t rt., . <br /> 43 <br /> .') 55 -1 <br /> tij STATE CERTIFIED - - <br /> � 4 Waste Water Specialist . <br /> � ro _ __ 1 p. EH-W10147892 <br /> • • 01. <br /> • <br /> Kimberlee A.Aldrich <br /> • • • 10//g/a13 • • • • <br /> :r Profte 6 <br /> .4 . 4" . . . . . S5 . x. 130 t <br /> • <br /> • ' , ‘• •% • • • • 13... " . l *faci • • • • • • . . . . . • <br /> 0 . .• <br /> _ . . . . . . . . . <br /> 11 i 4,44 . . <br /> If----4 lc? __........41:46, e a • ,-7'smiillIllmr_, 4 <br /> • <br /> I certify, . .eabowe information Is accurate to the belt of my knowledge.I AM THE[ ]Owner or[ ]Authorized Agent. <br /> ass_:' • Ross Newkirk 5 <br /> NAME(per print): Telephone#b03-545-5095 <br /> Applicant's Signature: -'- ( 1,40 <br /> Z 3 <br /> Dater %D1 <br /> Applicant's Mailing Address: <br /> 17605 Painter Loop Rd Ne <br /> Cif Hubbard Zip: 97032 Applicant's email. DDFleetservices©gmail.com <br /> S-31-6-2020 G:\Forms\Septic\FORMS\S-3la SepticSystemSitePlanRequirements for SITE EVALS 2020-07-20.doc <br />