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, 2~ ftIGH ST NE <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH. 585-5147 <br /> <br />ON-SITE S~WAGE DISPOSAL SYSTEM <br />,CONSTRUCTION ~NSTALLATION PERMIT: <br /> <br /> 1 <br />1. The septic sgstem must be installec <br />2. All disposal trenches shall be in: <br />3. If there are questions <br /> construction of the <br /> <br /> and <br /> <br />layout of <br /> <br /> be inspected prior to cover. <br />the of the ground. <br /> our office prior to <br /> <br />Name: <br />Addressz <br />Legal Description: T <br />Tax Lot NO. <br />System Will Serve: <br />Projected Sewage Flow: <br />Water Supply: <br /> <br />Expiration Date: <br /> <br />IMPORTANT; Weep this document with your <br /> records_ Show this permit to the <br /> septic system installer prior to <br /> installation of =he system. Any <br /> deviation from the approved plan must <br /> have prior approval from this office. <br /> <br />TNIS PERMIT IS NOT <br /> <br />Typ~ of <br />Septic Tank Ca <br />Lineal Feet Dis <br />Distribution: <br />Disposal Tren( <br />Filter Mate~ Depth: <br />Minimum <br />Curtain ~uired: <br />Special Requirements: <br /> / <br /> <br /> I(c>,j~)~"~ gal. min. <br />Field: <br /> <br />PEP~4!T NUMBER:___ ~_J_~ .............. <br /> <br />Registored Sanitarian <br /> <br /> <br />