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RETURN TO: <br />Marion County Health DeparTment <br />3180 Cemter St. NE, Room 220 <br />Salem. Oregon 97301 <br /> <br /> DEFART¥~NT OF.~fRD~IENTAL QUA:I:Y set. no. 7~77-6 rec. #$5350 <br /> FOR <br />STATEMENT OF FEASIBILITY EOR~PEOPO~ED SUBSURFACE SEWAGE DISPOSAL <br /> <br /> FEE $CHEDIILE: <br /> Non-refundable $37.50 per lot <br /> to be submitted with <br /> application. <br /> <br />DESCRIPTION OF PARCEL (Attach Plot Plan as Exhibit A) <br />Sectioa '%'3 ; Township gY' ; nge ! ; Co=ty Oregon; =a× $*, .Z <br />N~rrativ¥-De~cription; -- ~2~~7-~ <br /> <br /> If for a co~erciaI business or restaurant, we need to know the number of employees and/ <br /> <br /> or the seating capacity: ~ , <br />PRESENTLY DESIGNATED LAlqD USE, ZONING, AND NAI~ OF DESIGNATING AGENCY: <br /> .. __ . <br />TEST HOLE REQUIREMi*~TS: <br />One Homesite: Yot~ will not need to dig test holes unless noti~ied.. <br />~o or ~re Homesites: ~o test holes must be prepared on each parcel~ 2 ft. by 3 ft. wide <br /> and 4 ft. deep, and 75 ft. apart in the proposed areas. <br /> Test holes ( ) have be~n prepared ( ) will be prepared 5y <br /> (date) <br />~S REPORT IS NOT A PE~IT. It does not eliminate the ~eed for required planning <br />sion approval, building, or location pe~its. <br /> <br />I HE.BY .~Q~ST FROM ~E DEPAR~NT ~OF ENVIRON~NT~ QU~I~ A STAT~T~F F~SIBILI~ OF <br /> <br />Na~ of Apptican~~ignature Of Appllca~~~~ <br />Address of <br /> <br /> Co~ents and reco~endations b~a~ ~surface ~ite Investigation by DEQ or Contract Agen <br /> <br />The soil on the property is similar to a Salk~m silty clay loam. Strong <br />structured silty clay at 2~" with mottling from 2~'~ to 28'~ in the <br />approved area. The property is approved for one homesite on 3+ acres <br />pending acceptable plot plans prior to ar~y construction. This is <br />Lot 5, Block 2 of The Enrich Subdivision. The approved area is located <br />adjacent to the ea~ad on the south property line and begins 50' <br />from the road on the east property line. <br /> <br /> Marion Ooun~ <br />Agent ___~__uil'$y Signature <br />******************************************************************************************* <br /> S~atement of DEQ/Contract Agent Relative to Above Application <br /> <br />(~'~e above described method of s~age disposal is approved subject to the following <br /> <br />( ) '~e above described ~thod of sewage disposal is not approved for the following reasons <br /> <br />EH-50 Rev. 11/76 <br /> <br /> <br />