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220 ItIG~ Si' NE <br />SALEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVSRONMENTAL SERVICES <br /> BUILDJNG JNSPECTION DIVISION <br /> <br />PH. 588~5147 <br /> <br />ON-SiTE SEWAGE. DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br /> ..... t .... I shown]abow I I <br /> 1. The septic system must be installed inspected prioz 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 questions concerning the layout of the system, please call our of?ice prior to <br /> g~o,~nsSruction of the sTs~em. <br /> <br />Legal Descripl. ion: T ~ ~ {~ S ~2_ <br /> Tax Lot NO. <br /> <br />Projected So.age Flow: ~ ~ ga3/day <br />Water Supply:, ~ ~ ...... <br />Issuanc, e Date~'__ ~-~,-~0 <br /> <br />~MPORT~T: ~eep this document with your <br /> records. Show this permit to the <br /> septic gystem installer prior to <br /> ~ostall~tfon of the system. Any <br /> deviation from the approved plan must <br /> haw? prior approval from this off,foe, <br /> <br />THIS PERMIT IS N~T~SFE~~_~ <br />Sfgnature: <br /> <br />SYSTEM SPECIFICATIONS~ <br />~pe of syste~: <br />Septic Tank Capacity; <br />Lineal Feet Disposal Field: <br />Distribution: <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; (~/) NO <br /> <br />ga3. min. <br /> <br />PERM.CTNU[~BER: __~~ ...... <br /> <br /> Rcg3's~ec~ Sanitarian <br /> <br /> <br />