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~0 HI,II ST NE <br />~ALEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH. 588-5.147 <br /> <br />ON-SITE SEWAGI <br />CONSTRUCTION <br /> <br /> DISPOSAL SYSTEM <br />'NSTALLATION PERMIT: <br /> <br />i I I <br /> <br />i. The septic system must be installed as shown above and must be inspected prioP to cover. <br />2. All disposal tzenchcs shall be installed so as to follow the natural contour of the ground. <br />i% If there are questions concerning the layout of the system, ~]ease call our o££3ce prior to <br /> constzuction of the sTstem. <br /> <br />Tax LOt NO. <br />System Will Serve~ <br />P~o~ected Sewage F~ow: ga~/day <br />W~ter Supply: <br /> <br />Expiration Date: <br /> <br /> IMPORTANT: ~eep this document with your <br /> records_ Shew this permit to the <br /> septic system installer orior to <br /> installation of the system. Any <br /> deviation from the approved plan must <br /> have p~Joz auproval from this office. <br /> <br />Signature~ <br /> <br />SYSTEM SPECiFICATIONS~ <br />Type of System: <br />Septic ~ank Capacity~ .1...~ <br />Lineal ~eet Disposal ?ield~ <br />Distribution; <br />Disposal Trench Depth= <br />Filte~ Material Depth:__ <br />Minimum Soil Backfill~ <br />Curtain Dra~n Required: ( ( ) NO <br />Special Requirements: <br /> <br />ga~. min. <br /> <br />Re,gi'.~te~ed SanitaT~an ~ <br /> <br /> <br />