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MARION COUNTY <br />~0 HIGh ST NE DEPARTMENT OP ENVIRONMENTAL SERVICES <br />SA~.}TM OR 97301 BUILDING INSPECTION DIVISION PB. 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br /> <br />1. The septic system must bc installed as shown above and must be znspected prior t:o cover. <br />2. Al? disposal trenches shall be installed so as to follow the natural contour of t~e g~eund. <br />~. If there a~e questious concerning the layout of the system, please cal~ our of£Jce prior to <br /> <br />const, ru~c~tl'.~o__D Of the s~stem. <br /> <br />L~gal Description: T ~'~"'R [C.O $ ?_~ <br /> Tax Lot NO. <br /> <br />Pro'~ected Sewage Flow: ~_~__ gal~day <br />Wate -- <br />Issuance Date: ~ ~ ~-~ <br /> <br />rMPORTANT: EeWp this document ~vith your <br /> records_ Show this permit to the <br /> sopt~'c ~vstem insSalZer prior to <br /> ~'nstallati]en of th~ system. Any <br /> d~v~at~en from the app.roved plan must <br /> haw? prier approw~l from this office. <br /> <br />SYSTEM SPECIFIC~T(ONS~ <br /> <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution~ <br />Disposal Trench Depth: <br />~ilter Material Depth= <br />Ninimum Soil Backfill: <br />CurTain Drain Required: ( <br />Special Requirements: <br /> <br />~ ~1 ~Tk3Cr ga ~ · ~in . <br /> <br />) Yes; (.~) No <br /> <br />Regi.stered S~nitarian <br /> <br /> <br />