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220 'Hi~H ST NE <br />$~LEM OR 97302 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTIO~ INSTALLATION PERMIT: <br /> <br />{ i I <br /> <br />i I <br /> <br /> 1. The septic system mumt be £nstalled as shown above and must be insp~o~ed prior to cover. <br /> ~J-- All disposal trenches shall be installed so as to follow ~he natural contour of the ground. <br /> 3. If there are questions concerning the layout of ~he sg$t~m, pl~a$~ call our office prior to <br />_ _oonstr/_~ction of the system. <br /> <br /> Legal Description: ~ I~~S~ Se~ic Tank C~cieg: .... I~ <br /> Tax ~t NO.__ Lineal Feet Dis~sal Field: <br /> System Will Serve: ~~ <br /> <br /> M~t~r Supp2~: ~ ~ . ~ilt~r material neptb:__ ~ ' <br /> . Is~uanc~ DaCe: ' ~-~) Minimum Soil Backfill: <br /> /~. <br /> Exp~r~on,~t~ ~-g~ Curtain Drain Required: ( ) Yes; (~) NO <br /> r Special Requi~ts: <br /> ~MPORTANT~ A~eep this docu~Dt wi~h gout <br /> records. Show this ~rmit to the <br /> septic system installer prior to ..... ~ ~ <br /> <br /> deviation from the ~pproved pl~ ~s~ ...... <br /> have prior approv~l from ~b~S off~, <br /> <br /> ~lgn~urc~.~_ ,. ~,, , R~glstcred Sanitarian <br /> <br /> <br />