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DEPT. OF BUILDING INSPECTION
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<br />Environmental Quality Division
<br />Evaluation of Property
<br />Subsurface Sewage Disposal
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<br /> Phone N_o.; 5B8;514,,7'
<br />~'0 F{Iqh Street NE Salem Ore~ong7301
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<br />A~d~ess ':~' ~ ~ ~J.:~ ~.~ ~J~ ' ~ ~ ' '~'~ ' ~,~TaxL°tN°'~
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<br />, .~ abo~e described prop~r~ ~s evaluated on .... ~ / , a~ iS hereby
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<br />f~ ~, (~u~udace) (alternahve) sewage dis~l system to se~e:
<br />a ~{~s~dendal "~ b, ~mme~cJel .... c, Restaurant ~ d, Ot~er .....
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<br />.,,,,_,."?,]~!a._[tion of PaL?,I ~'1 #2 #3 ~4 ~5 #6
<br /> High Chroms. on_ly ~
<br />.~ (Water Table IndiCator) High & L~ C~r~a, ~ ~ : ,
<br />TABLE , ,-~'-,
<br />:ICTIV~ ~YER ,~ ,,_ ,, .....
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<br />vIOUS I~YER ' :
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<br /> O~,(NtNG MATERIAL 7~ ~[,~:~'~ ?
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<br />RE AT 24" -~ ~
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<br />,~<PECtAL CONDITiON~ OR LIMITATIONS
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<br /> ,,,,,aP ,¢ tarlk size
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<br />r l'yee of distribution
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<br />c Dopth of trenches ~ ,~ ..... ~. ~ .' .... maximum;
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<br />, M~nlmum depth Of filter material. ;, '
<br /> ~J~m~t~ depth of ~ck'fi~l - ~..
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<br />trenches shall be installed It~ the area of the ~pproved soll evaluations Iooated m,:
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<br /> ,or to ~ssuing ;he buildinfl permit, a scale drawing of where the struoture and sewage System Will be located on the
<br />p~cper~y must be subr~itted ar~cl approved. This is to be considered a mandatory p~rt of your building plans, A~I disposa,~
<br />I=~nchas shaft be designed and installed eD as to follow the Contour O~ the land,
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<br />' ~:~ acproval iS made on the basis that the paroel of lan(l will not be further partitioned'or subdivided and the natural soil
<br />c o,~?ht~ons or landscape con(litionS on subject property or adjacent properties will not 13e altered in any manner that woul0
<br />omh~t)~t issuance of a permit under the DEO Subsurface Sewage Disposal Rules, ~
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