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220 IlIGiI S?'1 NE <br />SALEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVi'CES <br /> BUILDINC INSPECTION DIVIS£ON <br /> <br />PH. 588-5]47 <br /> <br />ON-SITE SEWAG~ DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />l_ The septic system must be installed as shown above and must be inspected pz'io~ to cover. <br />2. AIl disposal tren~les shall be installed so as to follow the natural contouz of the ground. <br />3. It there are questions concerning the layout of the system, please call our off, ce prior to <br /> conatructio~ of the s~stem. <br /> <br /> £ax Lot NO. <br />System WYll Serve: ~a~c~W~_ <br />Projected Sewage Flow: /~ gal~day <br />Water Supply: ~--J~F <br />:rssuance Sate: <br />Expiration Date: ....... <br /> <br />Legal rX~sc'ription: T.~_~R.__~_S ~ Septic Tank Capacity: <br /> <br />,IMPOHI"~N~T__:Ueep this document with your <br /> reaoz'ds. Show this permit to the <br /> septic sgstem installer prio~ to <br /> installation of the aya~'~m. Any <br /> deviation from the approved plan must <br /> have prJ'or approval from this office. <br /> <br />TIIIS PERMIT IS NOT TRANSFERRABLE <br /> <br />Lineal Feet Disposal Field: <br />Distribution~ <br />Disposal Trench Depth: <br />Filter Material Depth~ <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; (~') No <br />Special Requirements: <br /> <br />Registered Sanitazian <br /> <br /> <br />