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MARION COUNTY <br />220 YIGIt ST NE DEPARTMENT OF ENVIRONMENTAL SERVICES <br />SALEM OR 97301 BUILDING INSPECTION DIVISION PH. 588-5147 <br /> <br />ON-SrTE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br /> I <br /> <br />1. ~e septic sy~ <br />2, All disposal <br /> <br /> ' t I ,..I 1, I ..... .... <br /> tom must be installed as shown above and must b~ inspeoted prior to oover. <br /> renches shall be installed so as to follow the natural contour of the ground_ <br />3_ If there are quest,ions concerning the layout of ~he system, please cell our o~?ice prior ~o <br /> <br />oonstruotion of The spstom, <br />~a~e: ~.c~ ~C ~ex~-~ ' <br />Lega2 Description: T ]~T')~ R ~ S ( <br /> <br />System will Serve: ~ 0(~ <br />Projected Sewage FIo~ ~ gal~day <br />Water Supply: .~~ ~ <br /> <br /> ~ecordA. Show this pemmit to the <br /> :~eptic system ~nst~lle~ prior to <br /> installation of the system. Any <br /> deviation from the approved plan must <br /> hau~ prior a~prow~l from this office_ <br /> <br />PHIS PERMIT IS NO~~~ <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />Septic. Pank Capacity:_ ~l/~A~ gal. mitl. <br />Lineal Feet Disposal Field: <br />Distribution~ ~~ <br />Di~posai Trench Depth: '~0~ ~,.~,.- <br />Filter Material Depth: _ ,, ~ ~ ._ <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; (~' No <br />Special Requirements: <br /> <br />R( q~ ~tered Sanitarian <br /> <br /> <br />