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t <br /> : ic.'s t. . S L m . DATE:. eI 9--c?.V . <br /> - _ . <br /> : AADR <br /> - - <br /> AAAR• S: a2Ci'zj , ,I a e _ SECTION:, 'ir TOWNSHIP: ?5 RANGE: 3 <br /> c.- <br /> SALAW.‘, TAS LOT NO:a__ • <br /> SITE EVALUATION <br /> FILE NO: • <br /> • <br /> Z_ X12 #3 #4 SYSTEM DESIGN <br /> b y Sewagelow: <br /> SOIL <br /> Tank: &X1 Trip . . ..�_ <br /> Mort3ia _..� • 1 Distribt>tfon: .....46541...‘....... <br /> Eff Sod l ,-'�.•' ..t .. <br /> depth Type of system. , �. <br /> • • Tech Depth; " <br /> SYSTEM • <br /> MUST $L INSTALLED AS SHOWN: . I <br /> _.i (• �•. :� ,_, _ ._ . . r .• Reck Depth• <br /> _. e---.7-77.; r _ i , .1 —�7-+ �— t .W-T ' {• : r <br /> . f '•7" i — .7— `T� iY"—f— -1---_,--.-1---7. <br /> .---.l_- 1---7. • 'q.r_:r _s e ZI7I1m Backfill: /9-2( <br /> _ <br /> -1 t .1-. t ....I' <br /> . r. i 1 � ala. � ._yi _1 <br /> - .:. . ' ,,. ' ; .:. ;.: ;.. i:. ' 4, ..... -_:." 4.:. 1 . ....1-.4.- .....4.-::-; f. .;. . .:..:; .:77.7. I <br /> (,),4 ii <br /> .. . ii.„...o <br /> i• <br /> I . • • : ; . ;- ;. • • . r : . I ; hciD;. 1 ! •i f , i 1 f i 2'7"• 1. i t; .; l' "! <br /> • <br /> r . r 1 1 f I • I . i. . 1 .i.r i�.�1..1 _ .d.,... •,I • •��- ...7 ...lr, • <br /> -e.(,.•(� <br /> € • i I I ' i„ ••; �- i t-;- .�..�_1-,..;•f-', ...i....:.?-:-F--.r..i .Y--'1-:.,j_.}.. FIELD EVALUATION ONLY <br /> . ..'.-4- ,!• <br /> 1H1S IS AT A PERM.T • , . <br /> Test Holes: 0 i= Acceptable; Q. s Not .Acceptable <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 applications the parcel. has.been found to be compatible <br /> . with applicable LCDC-aclamoledged local compreL1hensive land use plans arid im! 'ement-ng <br /> measures or the Statewide Planning Goals, Authorized Agent approval i= e,t . ed lore <br /> a 'construction permit can be issued. <br /> • <br /> SANITARIAN; ' <br /> .._ .. . .._.. ' : .SEPTIC PERMIT <br /> • <br /> -The proposed site of the sewage system installation has been reviewed and approved by the • <br /> - <br /> Marion County Sanitarian. <br /> PERMIT NO: $4"499 / <br /> it;3AITxN: f "`�� <br /> This permit expires one year from date. <br />