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MARION COUNTY <br />220 HIGH ST NE DEPARTMENT OF ENVIRONMENTAL SERVICES <br />SALEM OR 97301 BUILDING INSP~CZION'DIV~SIOW PH. 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />2_ All disposal trenches shall be installed so as to follow the nat~ral contour of the ground. <br />3. If there amc questions concerning th~ layout of the system~ please call our office prior to <br /> construction of the system. <br /> <br />Legal Oe~criptien: Z ~OS R ~_ S_ ( <br /> Tax <br />System Wi Z1 Serw.. <br />Projected Sewage Flow: ~C~ gal~day <br />Wal~or Supply: <br /> <br />Expiration Date: <br /> <br />IMPORTANT: Weep this doou~nt :vith your <br /> records. Show this permit to the <br /> sept.Tc system installer prior to <br /> installation of tho system. Any <br /> dev.{ation from the approved plan mus~ <br /> haw} prior appuoval from this office. <br /> <br />S~ gnature: <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />Septic Tank Capacity: /~__ ____gaT. mirl <br />Lineal Feet Disposa,~ Field: <br />Distribution: <br />Disposal Trench Depth: .... <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Fes; (~') No <br />Special Requirements: <br /> <br />PERMIT NUMBER: <br /> <br /> <br />