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220 NIGH S~f NE <br />SALEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTIONDIVISION <br /> <br />PM, 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />t I I I <br />i I 1 T <br /> <br />1, ~e septic system must be installed as shown above ~nd must be inspected prior to cover, <br />2. All dispesal 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 ~stem, <br /> <br />Tax Lot NO. <br />System Will Serve: ~0~0~ <br />Projected Sewage Flow: ~ ~aI/day <br />Wa~er Supply~ ~ <br />Issuance Date:~ <br />Expiration Date: 7~ <br /> <br />IMPORTANT: Weep 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 prio~ approval from this office. <br />TN.TS PERMIT IS WOT TR~~ ~ ~ <br /> <br />Signature: <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: <br /> <br />gal. min. <br /> <br />Disposal Trench Depth: ~_~q~ <br />Filter Material Depth:, ,~/~ <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; <br />Special Requirements: <br /> <br />PERMIT NUMBER:____~ ~/~__ ............. <br /> <br />Registered Sanltarf an <br /> <br /> <br />