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OilMARION COUNTY BUILDING INSPECTION INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> 5155 Silverton Rd NE (to be completed by system installer) <br /> SALEM OR 303 <br /> 03-588.514 97 PERMIT NO. 22-006651 <br /> MARION <br /> 4 ,COUNTY http://www.co.marion.or.us/PW/Buiidinglnspectlon SITE ADDRESS: 871 Iva Ln NE <br /> AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> Scale:1" ' <br /> /-.------ <br /> North <br /> • <br /> Is' 6' <br /> ae I i <br /> wa�� ; <br /> ago too'oO •..�'.`0 <br /> )y b, 7 f 1 <br /> ,a5• , ;NitXi • <br /> h' <br /> s.F.4. I - <br /> . 7 • _._ <br /> • . <br /> • 0,,,vew41 • , i <br /> •.,. .. ._ __ . <br /> . . <br /> • . <br /> . <br /> T 11 A Lif <br /> (show all details and dimensions necess r to locate all components of the system in the future) <br /> SYSTEM MATERIAL S AND SPECIFICATIONS: INSTALLERS CERTIFICATION: T <br /> System Design Sewage Row 225 Gallons/Day 1 HEREBY CERTIFY THAT THE ON-SITE SEWAGE SYSTEM IN- <br /> STALLED AT THE ABOVE ADDRESS WAS CONSTRUCTED IN ACCOR- <br /> TANK Size: 1,000 total gallons Ix single compartment DANCE WITH THE REQUIREMENTS OF THE PERMIT AND THE RULES <br /> Manufacturer:Waite [ j double compartment OF THE ENVIRONMENTAL QUALITY COMMISSION. <br /> Material: concrete , ' 1 ) tlow-through DO I have tested the septic tank and certify it to be watertight. <br /> Effluent Sewer: Header Pipe: The system was installed by: <br /> Size/Matt SizeiMat'I I I Property Owner(permittee) <br /> - O(Licensed Sewage Disposal Service <br /> DRAINFIELD rock depth(inches) Boxles) I <br /> Rock and under pipe I I Drop I I Concrete DEQ License Number: 39104 <br /> Pipe total depth I I Distribution <br /> I I Plastic DEQ Certification Number: RI 91 O <br /> Drainfield Material(Alternative orperf.pipe) Infiltrator LP <br /> Total Drainfeld Footage 144 Trench Depth Minimum 12 Maximum 14 • <br /> Curtain Drain Depth SST 4 I. 4 Signed: <br /> Effluent Pump: Pump Model Norweco, HB 105197 o1 o Z v U ' <br /> Pump cycle <br /> times in minutes: on off Gallons per Cycle Company name:_ E and Z Excavating LLC <br /> ATT Make and ModelNorweco. Green • (please print) <br /> Attach an additional sheet for components and materials not listed above. . Date: 7-22-2024 _ -__ <br /> (For ,Marion County Use Only) The above septic system has been inspected by Marion County. The intbrmation has been determined to be accurate <br /> and the system is: I)4 Approved I I Approved with corrections:see inspection report I I Denied <br /> Signed: 1 Title: 1.1t—SI IcitZ°6 W" Date: g)17-1Zt' _ <br />