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MtARIO'S COUNTY BUILDING INSPECTIONgili
<br /> INDIVIDUAL t),\ 1"t F..SE (;E:W SYSTEM RECORD
<br /> } 4 Stl ertnn Rd NE
<br /> S l I\l OR 973i)5 (to be composted by system installer)
<br /> 503-5$I-5147 PERNIII `O.
<br /> ME r'Y
<br /> http:,Iwow,co.ma+rion.or.usiPW/BuildingInspeetinn 511} \I)I)RI55. ?,C,)_._i3t it,_. 4
<br /> AS-Rl ILT PLAN OF CONSTRUCTED SYSTEM:
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<br /> `' (�},„,all details and dimensions neck4fr to locate all components of the system in the future
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<br /> S1SII♦tNI.\EE.RI% S4\DSPIAIFI(A1IONS: 1\51"11.1F:R\(FR►IFI(ATTO\i i
<br /> g Gallons/Da) I III.RLDN C'T R I IFS I HAI 1 I IE ON-SITE SEWAGE SYSTEM IN-
<br /> STALLED AT THE ABOVE ADDRESS WAS CONSTRUCTED IN ACCOR-.
<br /> i'A\K Size' / (� taus)gallons single compartment DANCE WITH THE REQUIREMENTS OF THE PERMIT AND THE RILES
<br /> y� � I I double compartment OF THE ENVIRONMENTAL QUALITY COMMISSION.
<br /> Manutacturer:__j„r,2Gtr�C
<br /> Material , �t� t VV I I t1ow-through id have tested the septic tank and certify it to be watertight.
<br /> Effluent Sewe . �, Under Pipe t1 alC The system was installed by:
<br /> Effluent 1
<br /> Size'?vta'I J Yet{ I I Property tlssner(permittee)
<br /> DILAINFIELD rock depth finches) Boxes)
<br /> XI Licensed Sewage Disposal Service
<br /> Rock and under pipe _ 141Erop joitconerete DEQ License Number
<br /> Pipe total I I Distribution I I Plastic
<br /> .. . /� DEQ Certification Number
<br /> Drainfield Matenaf(Alternative or pert pipe) r lt. .nj _....
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<br /> Total grainfield Footage-I L Trench Depth Minimum!(k) Maximum
<br /> Curtain Drain Depth_ ___ SignedCii
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<br /> Effluent Pump: Pump Model
<br /> Pomp cycle
<br /> times in minutes on.._ off _ Ciailons per C'yclr Company name:
<br /> Is I I vtake and Model (pi ` grin)}
<br /> mach an additional+heel for component,and material.not(sited sh,uc. Dale' `) _
<br /> tFor Marion County Use Only) 1 he above scpti c 'a been inspected by Marion County. the infornia ton ha.been determined to he accurate
<br /> and the sys m it;: IV proved I I Apl, . ed with c, rections:see inspection report I I Denied
<br /> ' Signed: . / /'w Alt) I AI
<br /> I Date.
<br /> tit' C_Sl re. 3'd+,d: 2,c 14 11 I- t. 1 Int,AcpticA-Ji,A.-HiiilCol? 'craion201'do, itiiiii iLtrr:n, c•,: 'z1.L Jo ( nee PRA Mather
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