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22Q .~[G~[ ST NB <br />SALEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL 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 shown above and must be inspected prior to cov~r. <br />2. All disposal trenches shall be installed so as to follow the natural contour of the ground. <br />3. If Chafe ara questions concerning the layout of the system, please call our office prior to <br /> construction of the system. <br /> <br />Name: ----~_~L, , <br /> <br /> Tax LOt NO. <br /> <br />Projected Sewage Flow: <br />Water Supply:~__~% <br />Issuance <br /> <br />IMPORTANT: ~eap this document with your <br /> records, Show this permit to the <br /> sept.ia system installer prior to <br /> installatio~ of the system. Any <br /> deviation from th~ approved plan mu$t <br /> have prior approval from this office. <br /> <br />SYSTE~ SPECIFICATIONS: <br />Type of System: ~ <br />'Septic Tank Capacity:,, <br />Lineal Feet Disposal Field: <br />Distribution: <br />Dieposal Trench Depth: <br />Filter Material Depth: <br />M~nimum Soil Backfill: ~" <br />Curtain Drain Required: ( ) YeS; (W) No <br />Special Requirements: <br /> <br />.gal. t~in. <br /> <br />· Registc. red Sanitarian <br /> <br /> <br />