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MARION"COUNTY <br />290 HIGH ST NE DEPARTMENT OF ENVIRONMENTAL SERVICES <br />SALEM OR 97301 BUILDING INSPECTION DIVISZON PH. ~88-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATTON PERMIT: <br /> <br />The septic system must be installed as shown above and must be inspected prior to cover. <br />All disposal trenches shall be installed so as to follow the natural contour of the ground. <br />If there are questions concerning the layout of the system, please call our off]ce pzior to <br />construction of th~ s~stem. <br /> <br />Tax Lot NO. <br />System Will Serve: <br />Pro3ected Sew~g~ ~1o~ --, gal~day <br />Water Supply: <br /> <br />E~pi~ation Date: <br /> <br />IMPORTANT: ~eep this docu~mmnt with your <br /> records. Show this permi~ to the <br /> septic s~stem installer prior to <br /> installation of the system. Any <br /> deviat~ou from the approved plan must <br /> have prior approval from this office. <br /> <br />TH1S PERMIT ~S NOT~~ <br />S~'gn~ture~ <br /> <br /> SYSTEM SPECIFZCATEONS: <br /> <br /> Septic Tank Capacity:~ <br /> Lineal Feet Disposal Field: <br /> Distribution:__ <br /> Disposal Trench Depth: / <br /> Filter Material Depth: <br />~lMinimum Soil Backfill: ~- <br />Curtain Drain Required:---7--7 Yes; <br />Special Requirements:~ <br /> ¥ <br /> <br />ga2. min. <br /> <br />) <br /> <br />PEPd~!T NUf~BER : <br /> <br />, Keg~st~,red San~tariaa <br /> <br /> <br />