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220 HIG[I ST. WE <br />SALEM ~ OR 97301 <br /> <br /> MARIOW COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISZON <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 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 prior to <br /> <br />Legal Description: <br /> Tax LOt No. <br />System Will <br />~m,?e~te~ sewage F~F <br />Water Supply: ~--~_C_ <br />Issuance Date: <br />Expiration Date: <br /> <br />iMPORTANT: ~ee'p this document with your <br /> records. Show this permit to the <br /> septic system installer prior to <br /> installation of the system. Any <br /> devistion from the approved plan must <br /> have prior approval from this office. <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution:__ <br />Disposal Trench Depth: ~ <br />Filter Material Depth; <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; <br />Special Requirements: /~C~D__~S <br /> <br />ga3. min. <br /> <br /> <br />