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220 HIGH ST NE <br />SALEM OR. ~73~1 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ~NVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH. 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />1. The septic system must be installed as ehown 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 prier to <br /> construction of the system. . <br /> <br />Name <br /> <br />Legal Description: T ~S R~C~ S_~ <br />Ta~ ~ot NO. (O(~%Y~ ~ ,,, <br />System Will Serw~:___~~ <br />Projected Sewage Flow: ~ gal~day <br />Water Supply: ~ <br /> <br />Exp.~ration Date: ~m~ <br />IMPORTANT: Weep this docu~nt with your <br /> records. Show this permit to the <br /> septic system installer prior to <br /> installation of the system. Any <br /> doviatloD from the approved plaD m~st <br /> have prior approval from this office. <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System:--_' ~, <br />Septic Tank Capacity: ~ gal. mirl <br />Lineal Feet Disposal Field: <br />Distribution=~ <br />Disposal Trench Depth~ <br /> <br />Ninimum Soil Backfill: ~o~ <br />Curtain Drain Required: ( ) Yes; (~) No <br />S~cial ~uireme~nts:w%~ <br /> <br />,~'~gna~.ure:~__~ ~.'"'~,]~'~ .............. , RegL~tered Sanitarian <br /> <br /> <br />