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MARION CouNTY <br />220 HICIt ST NE DEPARTMENT OF ENVIRONMENTAL SERVICES <br />SALEM OR 97301 BUILDING INSBECTION DIVISION PH. 588-5147 <br /> <br />OW-SFTE SBWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />The septic ~stem must be installed as shown above ~n~ must be inspected prior to cove1. <br /> <br />If ~here a~e questions concerning ~he lagout o~ the system, please call our oEFice pzioz to <br />construction of the .~stem. <br /> <br />Legal Description: Tax LOt NO, <br /> <br />.~'szuanoc mat'e: <br />EzD'ration Date: <br /> <br />?MPORTANT: Weep t~Ti$ document with your <br /> P~cord/,'. ShOW this p~mit to the <br /> Septic system iustaller prior to <br /> installation of the system. Any <br /> d~-:viation from the approved plan must <br /> have prlor appfoval from this office. <br /> <br />~:HIS PlTRM:t )' ,rS Np'-ie TR,_ON~FER~:~/I~E <br />S~na~ure~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System; ~~ <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: ~tl~ <br /> <br />gal. min. <br /> <br />Disposal Tre.uch Depth: (~- ~" <br />Filter Material Dep'~b: /~" <br />Minimum Soil BacKfill; ~'~ <br />Curtain Orain Required: ( ) 2e$; (~) No <br />Special Requirements: ~O~e_~ ~..O~ ~ ~ .... <br /> <br /> <br />