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SECT%ON: ~O TOWNSHIP: /{) ~ RANCE:~-~C <br />TAD[LOT NO: <br /> <br />SITE EVALUATION <br />FILE NO: <br /> <br />Mottling: <br />Eff. $oli <br />...... pepth ..... I <br /> <br />SYS£EM MUST BE INSTALLED AS SHOWN: <br /> <br />Test Moles: <br /> <br />0 ~ Acceptable; <br /> <br />Not Acceptable <br /> <br />SYSTEM DESIGN <br /> <br />Daily~Sew~ge <br />Dra~nfield: <br /> <br />Distribntion: ~/,~ ~g". ~'!~,,..~-y, ..... <br />Type of Systcm~-- <br />Trench Depth: ~"~ <br />Rock Depth :... <br />M~ nimum Back fi].]: <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 comprenhensive land use plans and imp~le~entl, ng <br />measures or the Statewide Planning Goals, Authorized Agent approval is re~i~ bcfor~ <br />a construction permit can be issued. ///~ <br /> <br />PERMIT NO: <br />DATE: ~ /~ ~ ~ <br /> <br />The proposed site of the sewage system installation has been reviewed and approved by the <br />Marion County Sanitarian. /~~ <br /> <br /> SANITARIAN: ..... <br /> <br />This permit expires one year from date. <br /> <br />P~XF/csr <br /> <br /> <br />