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220 ~JIGH SS NE <br />SAIZM OR 97301 <br /> <br />. MARI~N COUNTY <br />DEPARTMENT O~ ENVIRONMENTAL SERVICES <br /> BUILDZNG INSPECTION DfVISION <br /> <br />PN. 588~5147 <br /> <br />ON-SIT~ SEWAGE DTSPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br /> 1 <br />1. The septic system must be installed as shown above and must be inspected prior to cover. <br />2. Ail disposal trenches shall be installed so as to follow the natural contour of the grouDd. <br />3. If there are questions concerning the layout of the system, please call our office prior to <br /> construction of the s~stem~ <br /> <br />Legal Description: T <br />Tax Lot NO. <br />System Will Serve; <br />Projected Sewage Flow: ~--0 gal~day <br />Water Supply: <br />Issuance Date: t~_ <br />Expirat.~on Date: <br /> <br />IMPORTANT: Wee~ 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 prior approval from this office. <br /> <br />THIS PERM.YT.TS.NOT T~NSFERRABr~ ~ <br /> <br />Signature: f~ <br /> <br />SYSTEM SPECIFICATIONS: <br />T~pe of system~__ ~eqo~ <br />Septic Tank Capacity:__~O ____.gal. min <br />Lineal Feet Disposal Field; <br />Distribution: <br />Disposal Trench Depth: ~'C <br /> <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; (~) No <br />Special Requirements: <br /> <br />PERMIT NUMBER: !4~ I <br /> <br /> Registero, d sanitarian <br /> <br /> <br />