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220 ~OH ST NE <br />SA LEM OR 97703 <br /> <br /> MARION COUNTY <br />DEPARTMBNT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH. 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />] I ' t <br /> <br />1. ~he septic aystem must be installed as shown above and ~sT be inspeoTed prior to cover. <br />2. All disposal trenches shall be installed so as to follow the national contour of The ground. <br />3. If there are questions concerning the layout of The system~ please call our office prior to <br /> co~lstr~ction of ~he system. <br /> <br />Legdl Descript~]on: T <br /> Tax Lot No. <br />System W.~ll Serve: ~,~ ~-~.~ <br />Projected Sewage Flow; ~':. ~b gal~dali <br />~/ater Supply: <br />Issuance DaLe: <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />SepTic Zank CapaciTy:__ <br />Lineal Feet Disposal Fieldr <br />DistribuTion: <br /> <br />ga]. min. <br /> <br />Disposal Trench Depth~ ~ .... ~ <br /> <br />FilTer Material DepTh: ~_,i <br />Minimum Soil Backfill: ~" <br />Curtain Drain Required~ ~) Yee; { ) No <br />Special Requirements'. ~' .~.-~--~.-, J.!.j~r~.~ t,,~ ,~. ~ ,~ ~ '~. ~ <br /> <br />IMPORTANT; l~ee'p this document with your <br /> reco~ds~ Show this permit To the <br /> septic system ~nata].~eu prior to <br /> installation of the system. Any <br /> deviation from the approved plan musT <br /> have prior approval from this off, ce. <br /> <br />THIS PERMIt' IS NO~~ ~AN~FER~ ~ ~ <br /> <br />Ret Jot6 z'e Sanita~'ian <br /> <br /> <br />