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220 HIGH ST NE <br />SALEM~ OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OE ENVIRONMENTAL SERVICES <br /> BUILDINC INSPECTION DIVISION <br /> <br />588-5147 <br /> <br />~N-SITE 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 <br />2. A1 l 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 prior to <br /> construction of the s~sCem. <br /> <br />Legal ~c~p~ion: T ~ ~ {~ .~ <br /> , , <br />System Will Serve: (~<~ -- <br />Projected Sewage Flow: ~ gal~day <br />Water Supply :. <br />Zssuance Date: ~( <br />Expiration Date: ~--~ 7-~ <br /> <br />IMPORTANT: Weep this docu~n= 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 />TRIS PERMT~ IS NOT ~SF~AB*E ~ ~ r PERM.T~ NUMBER, .................~ I <br /> <br />Slgn,nture, . ____ _, Registered Sanitarian <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: ~ gal. min. <br />Lineal Feet Disposal Field: <br />Distribution: ~(~<_ <br />Disposal Trench Depth: ¢.~t%'~ <br />Filter Material Depth: <br />Minimum Soil Backfili~ <br />Curtain Drain Required: ( ) Yes; (X) No <br />Special Requirements: <br /> <br /> <br />