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MARION COUNTY <br />220 HfGH. S~ NE DEPARTMENT OF ENVIRONMENTAL SERVICES <br />SALEM OR 97302 BU?r, DIN~. INS~OTION 'D?VT.~ION P~. 558-5147 <br /> <br />ON-STT~ SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION ~NSTALLATION PERMIT: <br /> <br /> ~. The septic sustem must be insffalled as ~howm above ~nd ~st be ~s~c~e~ prior to cover. <br /> <br /> 3~ If there are que$tiO~ concerning the layout of ~he sDs~em, p/ease call our <br /> <br /> Name: ~ ~ ~SYSTEM SPECIFICATI~S: <br /> <br />~ Tax ~t No. Lineal Feet Di~sal Field: <br />System W~2I Serve: -~0~ Distribution== ~ <br /> P~jected Sewage Flow: %~ gal/da9 D~s~sal Trench ~pch: ~ ~' <br /> water Supply: ~ ..... Fiiter Material ~$th~= /~ .... <br /> Expiration Date: 7~ ......... ~ ~Y:ain Drain Required: ( ) Yes; ..... ~) No <br /> S~ci~l Requir~nts ~ <br />.~MPORTANT; ~eep this dQcu~nt with ~our <br />records. Show this permit tO the ' <br />.~eptio system installer pr~r to <br />installation of the Sg$tem. ~g <br />dev~tion from th~ approved pl~ must r <br />h~Ve prior a~proval from th~s office. ~ <br /> <br /> <br />