CERTIFICATE OF SATISFACTORY COMPLETION
<br />
<br />OWNER:
<br />ADDRESS;
<br />INSTALLER:
<br />SEPTIC TANK:
<br />NO. GALLONS: . ,/(/~-"~ ~
<br />MATERIAL: _4/',~",.¢'/*"_~ 'P'z¢,¢'.', ".' ... .'..
<br />
<br /> MARION COUNTY
<br /> COMMUNITY OEVELOPMENT DEPARTMENT
<br /> E;UILD[NG INSPECTION DIVISION
<br /> 220 HIGH STREET NE
<br /> SALEM, oREGON 97301
<br /> PHONE: 588-5147
<br />_~ ~ii ~ ~; ,,;---.lil,~ ~_ ..... ~:':";~; .... i~...~_;ll ~ i ~iI ~.. _
<br />
<br /> ,y
<br /> .-~ ,..,...,._.: ,..~...?.4~''~-~ , ~ ,,.
<br />
<br /> -~, ........... ':' ,.'/,a "?' ,,~ ¢ / ;',"
<br /> i · · ~;,~,'7-.'..~ ... ,~'¢,: "
<br /> '-'~ ..... T'-:'-.: '"~..:,' '"':..¢ .
<br />
<br /> ....... ' : . .
<br /> I ~' t ' ...-- ' ,,~,.-~' · ,-"'
<br />
<br /> ~ : .,~: ,, ._ 1.. '
<br />
<br /> , ON-$~E SEWAGE SYSTEM INSTALLATIO~aSEECTION
<br /> , . - .
<br /> DISPOSAL FIELD:
<br />
<br />TOTAL LENGTH: ~ ;/.¢ ~/-~
<br />PiPE MAT'L: ~= D"- './ ? '/_ "~. :' ,,-¢,f.c' ~
<br />TRENCH DEPTH: Z'~,/- '~;-~'' ~' ¢/-.~ =
<br />ROOK DEPTH: ./'~./¢
<br />DIST. TO WELL: ' Z,¢/- /"~/~-' ' ....
<br />
<br />BUILDING SEWER MAT'L: 't-~ ¢ ';;¢ ",:,,~/ ..: ,¢,~,r,~_ ,
<br />EFFLUENTSEWE~MAT"L: ..r'). ~/...'.'.,.'-/,-/"~'4:., B. OXES: f'c'/,?'~'z'.~-.¢~,~,. ,.Z) ,... ¢',' /--.~% ~ '
<br />COMMENTS: '?¢"'"' r'¢: - Z ': -...'., 7 .-/.. ,' - ~. .,' ...- ,' .... ~ .~7.
<br /> _ : J ~"/.~2"--~¢ ..~./Z 't4,~__~ , '..,. 4:, , ~/,
<br />
<br />in accordance ~vith~reg0n R~vi,~ed~tatute~4-54.66~; this:~ertificate is issued as evidence of sa~-i$~ci~ry
<br />comple~ion of a subsurface or alternative se~'age disposal eystem a~; the above location.
<br />
<br />~NSPEOTED ~¥..'~. ~// ?'~.~ ~.~:.~- BATE:
<br />T TLE ~.~/'.I ~.., ~,. 4.. 3- ~ ..... ..........
<br />
<br />
<br />
|