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HomeMy WebLinkAboutIMPV-10-2023-206718.TIF DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed.L of j-- DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID 0: '? ORS I1 ,ON-SITE WASTEWATER SECTION COUNTY: SOILISITE EVALUATION • OWNER: �ilut ti ..f r►r!,t + .�I' for ON-SITE WASTEWATER SYSTEM • APPLICATION DATE i n)fl j! ADDRESS: 1::,;7 ;tt,,,,,;-a:. ;el, t.i t,1 r !l' DATE EVALUATED: r sl • PROPOSED FACLTTY:,+hv.•.!''•i l!.i !i {PROPOSED DESIGN FLOW(.1949): ✓G e; 14 • PROPERTY SIZE: 0 l otT_l - LOCATION OF SITE: ;t PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public O'Well a Spring 0 Other int EVALUATION METHOD: D Auger Boring 0 Pit [] Cut • TYPE OF WASTEWATER: 0 Scwago 0 'Industrial Process 0 Mixed • :........... •• C.. i7 : •-: .....:............ ..73'i.7 1.tt:t::::t1?:::::7:t::•' t. ,...........::::!Miii""t•:•:•,.......ii;t:::i:tl:t:t fir:, .....!..... ....»............. ,. .... ,t,..._..........1�...... ii.................f.i.s l........ 73:.....•.;::t.t.,1I:t:::i:::::::::::::.7i.....71•i'::::•.. t S': ... ...hh,,, ......._.................:.............".......... .......... .....i........................"....... .. •:t: :............ ....;1?i?i:il...........::::::....::::i iie=: ::::::::: :?ijt:I,Ii I,:7 '::x•'••' ::::[C];:.:::•i,i.;1,..;.::•1S ::'•:: i:?:::•.1.! ;: ti i........L1:,i........t.i....t)fl t ......tt.,L..t.... 7i. ..... •::: .... Is.il..l3 t i ir.sr....,.r...........ic.rt::s:::......:. ..;.».......t.c.::.r 7:...:.....»... . _ ..... ....... ».t..,i!!:t»t.ir.. t. 1 »llli,::ttt" '•i::::"M. ..1:: ii!•• ,i:t:rift ,:t :.. 'il?' ••••• Ai•�' i?i::•• ».i. ri.. .• ..i.ttt.?tl: s'r.":?E :?i?..ttist:: :s: •• .. :'i:: •"rr% �i• :iiiiti?... • ::c:c:r.:it•.........:::: ..........i...t:::i:is .' .!i . . ... .. .. .. f...+3- i.......»...........3 3 .: .....s7rc: :s:lilmii iiii sec::.....i:::t..t ;:siii:i:iiii:::: 3e.... Q.: ".7.._.. t:::::.i.•.1 LrlYlAliS.t IJLV 1:�x'::::•::::::r::c;•7::•:••:•:::::::::.: :�:; ','%+*.. i i »i!iii?ii?ieiii:...•iii:p ......... .1...... '3'73:irt::::,7.i ....... 1.......... t.ti., ...... 7.........» i�.: y •....• .J::,::::...; '^:ii::{{:::•::7 i; ::t�??::: :....... iii:: 7 .,. ..,..�. 7........ ti,ii7 7...... .. ... :::73::ii?:i?ii7: s .•:•.... t'ih::islii:iiii?Iillii'i?::tliti.•� r:::r!ii::itlt7... • t...ti--..:'tt..1 _.i Li '"ii=railiiiiii»ii?i?:ii:?:�......... ..•••••i::iii::ia iiii: ..:t7ii .141I�dI : 'ACT'DFt: " ???i:9:.?:: ::::i� :: 7 . ....1P_.i i• ,.. .. ......liWslli ... ... ... .� ai:ia:i:CLiii :?:? ::I _:a yy„ii ait:iy .:: ::i:: ::i:. r17• •I' ?:.• ?:.....: :fit. .. ....,i .. h'tr.; r.tilitig ���.rt... r.i u•yc:k:•r.::r.:u: .... ,... ............ ... _........ .......c•:—......................7•:::::; ...Sett:� ............. ....1 ::..::: s .......iiii?:::::i: ....._.. ...,..+�L��{�{yy YA.N.,....::::::::::::.................i:?:t:•• :........-..:��'d1;•�" i:i:�:i i.....7,`� ..�956:...:7 `yy�{�``.'FjY�.}{i_� ..._....•....T'."�eRIR:I r••••• :::'7� 1 ...e... `µ', .7..• ... :0, l•}�+iQ� :?rY S".:Y/f:f�'�T�i� .._...... • ... t1 � ><.i •� a CE`t1 :i::1i'E: „�•�4 •:.:::i:;: APgO::i: �•Rr i FiDESTaai':••.t is E .` •r` �Y4t.ra::ii i::i!ift:. r�.r.M i.ir.;t ....... crv1�..5 .. ii9?ii�iT'1RSIIrlfii?•� i:.::.:.?.::. . .::.:•:.r:•.......... ...i:. v '" ... : ? ii: `�}ja�y`' DI:PTS ... ..E.... _...... ��,a•:!.•�::ii... .. ��Y-��'CIT�=� i• �� ... �r.I.^.:: •:• ��Lit,i�G _._...t:$iAFF�':4g:-::-:��i?:tit ... ..... ...�•• i" Es•--�•'.{-'a•_.!�`..`, : .;• __:::a.......-:i:iiT�i ... 0-5 cat- v,i.si5t'l, c.-/ s-1 t-f/.�' Pr 1 !"1"i L q4 '70-�R" G-f1J• - wsEK' i r ffff v G� G . . 2 . • • 1 i • DESCRD'TIDN D 1TIAL SYSTEM REPAIRSYSTEM t OTEER FACTORS(.1946): Asailsble Space(.1945) SITE CLASSIFICATION(.1948): Syrttra TYPO) r EVALUATED BY: !7• f¢& rr lrp Sid it"f OTHER(S)PRESENT: . Site LIAR '.- 0 •3 COMMENTS:,