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220 HIGH ST NE <br />SALEN OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH. 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALI~TION PERMIT: <br /> <br /> __ ~ ~ ..... ~ ~ ~ ~ .... <br /> <br /> ,,, --'~ ........ W--,],,,,,.,,,/ - ~ ~"~' ~ .... ~ <br /> <br />1. The septic system must be installed as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed so as to follow the natural contour of the ground. <br />3. If there are question, s concerning the layout of the system, please call our off'lee prior to <br /> construction of the system. <br /> <br />Legal Description: <br />Te~ Lot NO. <br />System Wi ~.? Serw~: <br />Prelected Sewage Plow: ~.~'~ gal~day <br />Water Supply: <br />Issuance Date,: ........ <br />Expiration Date: ..... /.D, <br /> <br />r_M.~ORTANT~: ~eep this docuz~ent with gour <br /> records. Show this permit to the <br /> septlc system installer prior to <br /> iDstallation of the system. <br /> deviation from the approved plan must <br /> have pzior approval from thfs office. <br /> <br />SYSTEM SPECIFTCAT.rONS: <br /> <br />Septic Tank Capacity; <br />Lineal Feet Disposal Field: <br /> <br /> Distzibution: <br />~D~sposal T~ench Depth: <br /> Filter Material Depth: <br />Minimum Soil Backfill~ <br /> Curtain Drain Required: <br />Special Requirements: <br /> <br />gal. min. <br /> <br />THIS PERMIT XS NOT TRA~RR~B~E ~ ~ ~ <br />Signature: t~ <br /> <br /> <br />