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220 HTCU ST WE <br />SALEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />Pll. 588~5147 <br /> <br />ON-STTE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />1. The .septic system ~ust be installed as shown above and must be inspected prior to cover. <br />2. All ~isposal trcnches shall be installed so as to follow the natural con~ou~ of thc ground. <br />3. If thez'e arc questions concerning the layout of the system, please call our off, ce pzioz to <br /> construction of the s~stem. <br /> <br />Lcgai f~scription; T <br />Tax Lot NO. <br />System Will <br />Projoc~ed Sewage ~1o~: ~--0 gal/day <br />~er Suppky: <br />Issuance Date; <br />Expiration Date:__~ <br /> <br />~MPORTAN~': Weep this document with your <br /> records. Show this permit to the <br /> septic system installer prior to <br /> ~nstallation of the system. Any <br /> deviation from the approved plan must <br /> have prior approval from this office. <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />TIIIS PERMIT IS NOg~FERRABLE. ~ <br /> <br />S~gnaturc: ~~ <br /> <br />Type of System: <br />Septic' Tank Capacity: <br /> <br />Lineal Feet Disposa7 Field: <br />Distribution; ~-~ <br />Disposal Trench Depth; ~ <br />~ilter Material Depth: <br />Minimum Soil Backfill; <br />Curtain Drain Required~ ( ) Yes; <br />Special Requirement.s: <br /> <br />PEP~]IT NUMBER <br /> <br /> RegJstored Saaitarian <br /> <br />gal. min. <br /> <br /> <br />