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APPLIC~AT~ON~ TO <br /> DEPARkr~'f~O~ENViROIqMENT~& QUAL~Tf Ser. No. 1-78-43 <br /> <br />STAT'gMENT OF FEAsibILITY FO~ FROPOSED SULSURFACE SEWAGE DiSPOSAl. <br /> <br />Rec.#7665 <br /> <br />REIU}~ TO: <br />Marion County Health Department <br />3]80 Ceste~ St. N~, Room 220 <br />Salem, Oregon 97301 <br /> <br />FEE SCMEt~LE: <br />Non-refundable $37.50 per <br />to be s~mitted with <br />application, <br /> <br />:. r_gC_~_~=__,_IO_N__O~_~_~_A_R_C~,~i~. (Attach Plot Plan as Exhibit A) <br /> <br /> Scctf. rm '])~ ; TownshipT~__i Range ~; Cowry of .~q~ Oregon; Tax lot <br /> N~:~rzatlve Pgscr'jption: ~~ C~~~ ¢~~ <br /> <br />PROPOSED USE OF PAF. CEI.,_~I~UM~ER OF HOM~SITES) AND LO% SIZE(S): <br />................................... ~.~ ~ . ~---~ <br /> <br /> If ~or a commercial business, or r~urant.,~e need to know the numar of employees and/ <br /> or the seatiug cataciry: ~ ~~ , ~ ..... <br />PRESENTLY DESI~IATED LP~D USB~_ZONINGz ~D ~ OF DESI~ATING AGENCY: <br /> <br />TES% BOLI~; R.JtQU1REMZNTS: <br /> <br />()nc; }lor~esite: Yoo will not need to dig 'test holes unless notified~ <br />J.~f<~__o_y_~4ol_ Hg~m~.~..i~.a_~ 2~o test holes must be prepared o{I each parcel, 2 ft. by 3 ft. wide <br /> and 4 ft. deep, and 75 ft. aparg ~n the proposed areas. <br /> Test ho]es < ) l~ave be~n pre-pared ( ) will be prepared by <br /> (date) <br />I'_HIS R.i~PORT IS NOT A PERMIT. it does not elAminate the need for required plamning commis- <br />~ioe approval, bui'lding, or locat~o~ permits. <br /> <br />I HEREBY ILEQUEST FROM ?~E DEPARTMENT OF ENVIRONMENTAL QUALITY A STATEMENT OF FEASIBILt~ O, <br />THE ABOVE METHOD OF SEWAGE DISPOSAL FOR THE ABOVE DESCRIBED PARCEL, <br /> <br />C~tv, State, Zip (]ode {~.~L~,>-.~-., ~Z~v Date <br /> <br /> (for DEQ or Agent use only) <br /> <br />Comme~ts and recommendations based on Subsurface Site Investigation by DEQ or Contract Ag~ <br /> <br />The soils on the property are similar to Concord and Amity silt loams. <br />In the areas evaluated~ a temporarily perched water table was observed at <br />the surface to 1~" below the surface. <br />DEQ Subsurface Sewage Disposal Rules: Ghapter 5~0: <br />Section ?1-030 (1) ~d) requirss that a temporarily perched water table <br /> cannot be less them 2~" below the surface. <br />Due to the above conditions~ this proper~y can~o~ be approved for <br />subsurface sewage disposal. <br /> <br />The south end of the property was not evaluated due to the flooded conditions <br />oi' the property which prevent access to that area. <br /> <br />Agent Marion Go~lnty $f nature ~l~ ~L~ ~"7~ <br /> ........ g Date __ <br />***********************************************************-***************************** <br /> <br /> Statement of DEQ/Contract Agent Relative to Above Applicat%on <br /> <br />( ) The above described method of sewage disposal is approved subject to the following <br /> coodltions: <br /> <br />~ ~e above described method of sewage disposal is not approved for the following redan <br /> <br />EH~50 Rev. 11/76 <br /> <br /> <br />