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15I.AR:ION COta `TY BUILDING NiSPEC'IIONINDIVIDUAL O. -SITE.SEWAGE-SY M RECORD <br /> _ �i <br /> 5�s etttin Rd tiE {to be completed by system instalte ) <br /> SALEht OR 97305 <br /> 03=588-51=#7 PERMIT NO OO e 4' <br /> MARlON �i' f <br /> COUNTY <br /> RESS <br /> tittp:ilwsr�r ca.msrkut or ualPSVlBult diagii,4iiitian • <br /> $ITE ADD tt BE1 <br /> AS-BUILT PLAl OR CONSTRUCTED SYSTEM: <br /> jir Scale;t" <br /> . 1 s 34mrttt F zigii <br /> ,o N , , ,..,„ <br /> • <br /> 41 <br /> p ` <br /> `� zI <br /> i P r <br /> e <br /> -i <br /> . <br /> ' <br /> T.;.-0 <br /> a4.: y _Y" <br /> r� <br /> , <br /> f <br /> tp� 1w1C- <br /> -. (show all details and dimensions.necessa�r to'lccate.all components of the;system iin the future} _ i <br /> SYSt'EMMATSRIAIS AND'SPECIFICATIONS: tiSfALLERS CER71FTCATIONt- . <br /> - •.I:HEREBY"GEitTIF1l TFFAT"I7iE ONSTIE,SE9VRGE SYSTEM L`I- <br /> SystemDesign Sewage Flow Gallons#DaY STr LLED:AT THE ABOVE ADDRESS WAS COb1S1RUCTED:IN ACCOR-.' <br /> TANK Stze °� _ total gallons (I single eotnpartment DANCE WITHTHE REQU'IR NTS OFTHE PERatitIT AND TFIE Rt1LES <br /> (j double compaMunt <br /> OFTHE ENVIRONMENTAL QUALITY"COMMISSION. <br /> Manufactumr.. .,„„J(J�c c, J i flow ttuough j, l have tested the sepde tank and certify it to be watertight. <br /> Material ��t <br /> The system was installed by > <br /> Effluentsewer 1fq"- �,/. Size�lMael `I,'q p / 1 mp�Y (F <br /> / a <br /> " 5¢r1Mat'1 Owner ermittee ,� <br /> 1 1 licensed Sewage Disposal Service r-- <br /> tiDR,UNFIELD rockdep (inches) ,Sox(es) l.� <br /> • <br /> oncrete.( DEQ T icense.Number J�+ <br /> Rnck:and W!!1tcPvpc . ,1{I�mP Al?' h' t. "� .. <br /> ' Pipe" total depth' li 1.1 Dvstribudon I I Plnsac A DEQ Certifiv po umber"- o7 <br /> _ Dratnfield Materuil{Alternative orperf.pips} , '' <br /> Total IDrattsfieldFootige tfVxi' Trench Depth Minimum' Maximum " a,, <br /> Curtain Drain Depot Signed <br /> v <br /> Effluent Pump Pump Model . <br /> Pump cycle j <br /> f . = Y <br /> times in minutes on off CraCtona Cycln Comga. .torte <br /> G ct�-r�;t+�.c. <br /> ATTMakeandModel ' ((/['�7y (Pep <br /> Atachaneddlttoaalsheet:Iorcompu ent.�'and'materialsnotlkted;nhove Dat�=i '°' <br /> For Marinweennts'U'se"Onlvl The above septic:system has been inspected by Marion County The.informsitior.has b determined to be:::accurar;r: <br /> ,,;.1:':i•3-:'•....'::::., <br /> and the system is ( Approved l. ove with correc ‘)..tions see inspection report ( ]Denied <br /> i 4� 11 t <br /> (till Q , ' _1 W L S ' <br /> • <br /> Data "Sipned;:71L1!s�ti+�[ �MC,S 1 row31Q3;ti!'2,5114;11l17 G:iForms'Septic'S-41 s-Buili20I5Yersion24t7.doo: WHPTE:Mar!on ourrty OW nor, IY.Clruailk � , <br />