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SECTION: & TOWNSHIP <br /> <br />TAX LOT NO: <br />SITE EVALUATION ~ <br />FILE NO: ,.. <br /> <br />#1 #2 #3 <br /> <br />SOIL <br />Mottling: ,, ~~-~-~- <br />~. Soil <br />Depth.. <br /> <br />SYSTEM MUST BE INSTALLED AS SHOWN: <br /> <br />Test Holes: 0 ~ Acceptable; ~ ; Not Acceptable <br /> <br /> SYSTEM DESIGN <br />DDaily Sewage Flow: ~,.~ <br /> rainfield: leo <br /> <br />!Distribution: ~.~'~ ~ ~.~ <br />!Type of System. <br /> trench Depth~,~ <br /> Rock Depth; <br /> <br />~inimum Backfill: <br /> <br />COPbMENTS: <br /> <br />%his 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 applicac£on~ the parcel hms been found to be compatible <br />with applicable LCDC-ecknewledged local comprenhensive land use plans and i~plementing <br />measures or the Statewide Planning Goals. Authorized Agent' approval is~ire~befo~r¢ <br />a construction permi, can be <br /> <br /> SANITARIAN: <br /> <br /> The proposed site of the sewage system installation has been reviewed and app~roved by the <br />~srion County Sani~arian. ~ <br /> <br />This permit expires one year from date. <br /> <br />Rl{F/car <br /> <br /> <br />