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SECnON: ~! TOWNSH~P:g~ ~OE:/~ <br />TA~ LOT N0:~f~Tt~A3 ~5~ ~t-~l~ <br /> <br />SITE EVALUATION <br /> NO: <br /> <br />#1 #2 #3 #4 <br /> <br />SYSTEM MUST BE INSTALLED AS SHOWN: <br /> <br /> SYSTEM DESIGN <br />,~aily Se~ge ,~,qw: <br />,.,~,,~nk: /~ <br />Drainfield: ~L(~ <br /> <br />Distribution: <br />Type of <br /> <br />Trench, Depth: <br />Rock Depth: /~. ~ <br /> <br />Minimum Backfill: <br /> <br />COMMENTS: <br /> <br />Test H~les: <br /> <br />0 = Accep~ <br /> <br />e; ~ ~ 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 compre~lhensive land use plans and, implementing <br />measures or the Statewide Planning Goals. Authorized Agent approval~quire~efore <br />a construction permit can be issued. <br /> <br />The proposed site of the sewage syst~ 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 />