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CERTIFICATE OF SATISFACTORY COMPLETION
<br />
<br /> MARION COUNTY
<br /> COMMUNITY DEVELOPMENT DEPARTMENT
<br />
<br /> <--, ~o H~H ST.EET NE
<br /> SALEM. OREGON 97301
<br /> PHONE: 588-5147
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<br />
<br />· ON-SITE SEWAGE SYS'~
<br />
<br />OWNER:
<br />ADDRESS:
<br />INSTALLER:
<br />SEPTIC TANK:
<br />
<br />NO. GALLONS:
<br />MATERIAL: ~,44~-f'~
<br />MANUFACTURER: ,,~,~z~,.~...~ ~',,~ ,'
<br />
<br />SYSTEM INSTALLATION INSPECTION __ SITE NO, ~/- ~ 5"
<br />
<br /> PERMIT NO.
<br /> DISPOSAL FIELD:
<br /> TOTAL LENGTH:
<br /> PIPE MAT'L: ~.
<br /> TRENCH DEPTH:
<br />
<br /> ROCK DEPTH:
<br />BUILDING SEWER MAT'L: }/" ~-~' ~ ~¢""/¢,~' DIST. TO
<br />EFFLUENT ~
<br /> SEWER MAT'L; BOXES: ~~
<br />COMMENTS: ~ .~~ ..~ ..~
<br />
<br />In accordance with Oregon Revised Statute 454,665; this ceNficate is issued as e~ide~ce of satisfacto~
<br />completion of ~ subsud~ce or alt~nstive sewage disposal system at the above location.
<br />INSPECTED BY:~~~ DATE: ~/~
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