|
I li• !: 'MANION COUNTY BUILDING INSPECTION INDIvirruAL ONSITE,SEWAGE SYSTEM RECORD-,1 ': 51.55.Silvertoil Rd NE
<br /> SALEM OR 913.05 (tia,be completed:by gyg.tem iiitaller),
<br /> .., . It
<br /> MARION 503,588.5
<br /> PERMIT NO ..1(9:1 —O.a
<br /> i '''• 's
<br /> 'iO..04.1NTY' :: 47-
<br /> . • .. . rtfia/www.cOanariot4or..us/PW/BuildfngInspeetinn SITE ADDRESS: 1 ao. ),Joz-41rti •: .-1-1'-i-zol. Itul, . •
<br /> AS-B.Lita•KAN OF CONSTRUCTED SYSTEM:.
<br /> . .. ....
<br /> .Scale: 1."= '
<br /> t • .
<br /> 1
<br /> f North
<br /> H .
<br /> V.
<br /> ,
<br /> .,
<br /> •
<br /> ' .
<br /> • ,
<br /> •
<br /> •
<br /> •
<br /> •
<br /> • ,•
<br /> , .
<br /> . „ , • •
<br /> ,
<br /> . . , : , •
<br /> •
<br /> •
<br /> (shOW-all details and dimensions necess to locate-all components of the system in.the future) ... .
<br /> SYSTEMMATERIALS ANDSPECIFICATIONSt INSTALLERS CERTIFICATION:
<br /> :, 1 HEREBY CERTLFY THAT THE ON,SITESEWAGESYSTENLIN-
<br /> 11 System Design Sc now 55.„ wiom.,nsi
<br /> STALLED:Al ThE AnotE,AbDRESS WAS CON.57TR:OCTEO:IN ACCOR-: .:1 1-3:Ah -
<br /> TANN Skie: •••• ...: ... totatgallons f.1.single comportment DANCE Wit1-14THE REQUIREMENTS OF THE PERMIT AND THE rit.ums
<br /> : OF THE kNyIRONMEN:TA14,QUALITY COMMISSION
<br /> M4infaciater. ILt:IttrAg.P. Wdouble compartment
<br /> : Materiab . .0„ithetitR,:itt..i [1 llow,through- I 44:have,tested the septic fank and.certify it lobe watertight
<br /> ••EffiirepfSewgc,„,t 1. ,,, Header Pipe 4 The.system was instal led riy:
<br /> itvian ,,, CASA..i .r!"ue .,. Size/Matt Sc,":14:-.A. 1.4.?, I [PIPPgrly Owner 1permitteeY
<br /> . . )4 Licensed Sewage:Disposal Service DRAINFIELD I rock depth-(inches), .• 'Buttes) 1
<br /> ;.„,..4__.. ,,,4,.Rock and undernipe 10 • . •[ r Drop ,I 1 cimerete .: DEQ LicenstNitmher: . . ,5..,1Vgoot:i .„. • •
<br /> - total depth I.72.,. 1.1 DMributionMast
<br /> .. -- ' ; '"`"--- DEQ CertificatiotiNumber: rikiV•• NO40:
<br /> it DraintleldMaterial"(AItemativeiorsperf pipe)._
<br /> ,
<br /> 1 Tinal Orainfiettl Footage .)e) TreneliScpthMinimizrit•It Musimuma(p : I I',i
<br /> 1 II Curtain Drain Depth -414 , Signed:. :. 41316,?:'.. t\:•• .. - .,. - r ..' :: ,,,
<br /> l• Effluent Pump:.Pump Model
<br /> •
<br /> Pinup ey,cie
<br /> 1 times in minutes nit oft CialIonsper Cycle_____. company name:. G.,catc, 4...jas;
<br /> etrr mote:am:Model. - (please pri4) .
<br /> ktiaeft,an additional sheetfortomponents and materiaktiot Bated above. Date:
<br /> I 1(For Marion County 1./se,Only).The above septic system has been inspected by'Marion,Cniinty.:The information has been determined to.be accurate'I!and the systein is: I t Approved l [Approvgd with corrections:see inspection,report f I Denied
<br /> 1
<br /> ' S i gne ik . Title: - 'Pate; •
<br /> _ ... .
<br /> MC:'..,;,41: Itta,:;3103;442;914;.11111 GAFtinm5ScptieS-4.1 As-.Buitt2015.YerSitin200.tioe " WHITE:M&logCaun.iy:W.:LOW:010w;PlIVKanstallin- •
<br /> •
<br />
|