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220 RIGH ST NE <br />SALEM OR . 97~01 <br /> <br /> MARIO~ CONNTY <br /> DEPARTMEN~ OF ENVIRONMENTAL S~RVICES <br />............ BUILDING iNSPECTiON DIVISION <br /> <br />ON-$IT~ SBWAGE DISPOSAL SYSTEM <br />CONS~RUCTI.ON INSTALLATION PERMIT~ <br /> <br />The septic syste~ must be installed ~$ shc~n abov~ and <br /> <br />PH. $88-51~ <br /> / <br /> <br />must be inspected pmior to cover. <br /> <br />~. All d~spo~al tmench~s shall be install:~d so as to follow the ~at~ral contour of ~he grounc <br />3. If there are questions concer~ing the layout ~f the sgst~m, pleus~ call our office prior <br /> <br />Name: <br /> <br />Legal Z~$cr~Rtion: T ,~% <br /> Tax Lot NO. <br />System Will Serve, ~(-~ <br />Projected Sewage ~l~w: <br />Water Suppl~= ~ . <br /> <br />ExeCration ~te: ~ <br /> <br />IMPORT~N~L ~ep this ~oc~nt wl=h gout <br /> r~cOed$. Show ~his ~rmit tO the <br /> ~sp~ic system in$talle~ <br /> instsllation of the Sgstem. <br /> devi~tJOn from the approved plan must <br /> have prior apD~OVal f~m this offioe. <br /> <br /> SYSTEM SPECIFICATIONS~,~ ~ <br /> <br /> Septic Tank Capacity: ' l~C) <br /> Lineal Feet Disposal Fieldc (~. <br /> <br />[Filter Material ~pth: ~q <br />~=tain Drain R~quired= <br /> <br />ga]. <br /> <br /> <br />