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220 tlIGII'ST' NE ' <br />SALEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH. 588-5147 <br /> <br />OAT-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />; i <br /> <br />/ <br /> <br />,,1 <br /> <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 ground. <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: <br /> Tax ~ot No. <br />System Will Serve: <br />Projected Sewage Flow: <br />Wa t e r Su~l y :. ~ <br />Zssuance Date: <br />Expiration Dat~: <br /> <br />SYSTEM SPECIFIOATIONS: <br />Type of System: ~c~p~tb <br />Septic Tank Capacity: ~-5~5~o~ <br />Lineal Feet Disposal F~eld: ~-- ' <br />Distribution: ~--- <br />Disposal Trench Depth: (~" ~ <br />Filter Material Depth: t~" <br />Minimum Soil Backfill: ~ <br />Curtain Drain Required: ( ) Yes; (~) No <br />Special Requimements: <br /> <br />~MP__ORT~A_N~_T~ Ee~p this document with your <br /> records. Show this permit to the <br /> soptic system insta2,~er prior to <br /> installatiof~ of the system. Anp <br /> deviation from the approved plan must <br /> have prior approval from this office. <br /> <br />Signature: <br /> <br />Registered sanitarian <br /> <br />_gaJ. min <br /> <br /> <br />