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DEPT. OF BUILDING INSPECTION <br /> <br />Environmental Quality Division <br />Evaluation of Property <br />Subsurface Sewage Disposal <br /> <br />Phone No.: 588-5147 <br /> <br />2,20 Hi,~h Street NEC Salem~ Oregon 97301 <br />Address /~)--~'~/'L~ ~L~ /~), ~,.~"~'~"~L ~~ Tax Lot NO. ) <br /> <br />for a (subsurface) (alternative) sewage disp~stem to serve: <br />a. Residential b. Commercial .~/'~,~c. Restaurant .... d. Other ,,, <br /> <br />Soils Eval,uat,i,q,q of Parcel #1 #2 #3 #4 #5 #6 <br /> High Chrom.,a only / <br />MOTrLES (Water Table Indicator) High & Low Chrome,,, ~' ~ ...... <br /> Low (~hroma only ~ <br />WATER TABLE j ¢'~ <br /> <br />IMPERVIOUS LAYER ~ ~¢~, ~,~: <br /> <br />RAPID DRAINING MATERIAL ~ ~(! ~ <br /> <br />SPECIAL CONDITIONS OR LiMiTATIONS <br />a. Septic, tank size <br />b, Minimum lineal footage of disposal trench~ <br />c. Type of distribution <br />d. Depth of trenches <br />e. Minimum depth of ¢, <br />f. Minimum <br />g, The disposal trer <br /> <br />maximum; minimum. <br /> <br />the area of the approved soil evaluations located <br /> <br />h, Other <br /> <br />Prior to issuing the building permit, a scate drawing of where the structure and sewage system will be located on the <br />property must be submitted and approved. This is to be considered a mandatory part of your building plans. All disposal <br />trenches shall be designed and installed so as to follow the contour of the land. <br /> <br />This approval is made on the basis that the parcel of land will not be further partitioned or subdivided and the natural soil <br />conditions or landscape conditions on subject property or adjacent properties will not be altered in any manner that would <br />prohibit issuance of a permit under the DEQ Subsurface Sewage Disposal Rules, <br /> <br /> <br />