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S~TE EvALUATiON <br />FILE NO: <br /> <br />#1 #2 #3 #4 <br /> <br />SYSTEM MUST INSTALLED AS SHOWN; <br /> <br /> SYSTEM DESICN <br />Daily Sewgge Flow: <br />Tank: <br /> <br /> ~-~ <br />of <br />~ench Depth: <br />Rock Depth: " <br /> <br /> Backfill: <br /> <br />COMMENTS: <br /> <br /> Test: Holes: 0 <br /> <br /> ~O a permit <br /> <br />............................... · ,_ <br /> ~e proposed site o~ th~ s~age syst~ ~nstallation has been r~i~ed and approv~y the <br /> ~rion ~unty <br /> <br /> PE~IT <br /> <br />DATE: SANITARIAN: <br /> <br />This permit expires one year from date, <br /> <br /> <br />