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220 HIOH ST NE <br />SALEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH, ~88-5147 <br /> <br />ON-SI'TE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />1. The septic system must be installed as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed so as to follow the natural contour of the ground- <br />3. If there are questions concerning the layout of the system, please call our office pr~or to <br /> construction of the system. <br /> <br />Legal f)escri ption: <br /> <br />System Wi'/,,~ Serve: <br />Projected Sewage <br />Water Supply: <br />Issuance Date: <br />Expiration Date: <br /> <br />IMPORTANT: ~eep this document with your <br /> records, Show this permit to the <br /> septic system installer prior to <br /> installation of the system. Any <br /> deviation from the approved plan must <br /> have prior approval from this office. <br /> <br />SYSTEM SPECI~ICATJONS : I <br />Septic Ta~k Capacity:___ ~e~__ ...... gaff. alu.I <br />Lineal Feet Disposal Field: ~_) .... ~ <br />Distribution: ~--~ <br />Disposal Trench Depth: {~_~t <br />Filter Material Depth: ~ <br />Minimum Soil Backfill:~ <~ ~ <br />Curtain Drain Requimed: ( ) Yes; . (~ No <br />Special Requirements: <br /> <br />THIS PERMIT IS,NOT T~TANSFERRABLEn <br /> <br />Signature: <br /> <br />PERMIT NUMBER: /~ ~ <br /> <br /> · Regffstered Sanitarian <br /> <br /> <br />