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MARION COUNTY <br />220 HIGH ST N~ DEPARTMENT OF ENVTRONMENTAL SERVICES <br />SALEM OR 97301 SUI~DING INSPECTION DIVfSION , PH. 588-$147 <br /> <br />CONSTRUC~SON INSTALLATION PERMIT: <br /> <br />i. The septic system must be installed as shown abov~ and mumt be inspected prior to cover. <br />2. All d~s~aal ~renches shall be installed so as ~o follow the natural eontou~ Of the ground. <br />3. If there are questions concerning the lagout of tJ~e sgstem, please call o~r office prior to <br /> co~l;~tfnn OF th~ s~mtem. <br /> <br />Address: <br />LeFal Description~ T <br /> Tax L~t No. <br />System will Serve: <br />Projected Sewage Flow:~,_~ <br />Water Supply:, ~/~ /~-~3 /,~ <br />I~$uance Date. ' 7~/~ ........ <br /> <br /> records. Shew ~is ~t e~ <br /> s~pt~c sgst~m installer prio~ <br /> <br /> d~viation from the approved pl~ <br /> have prior approval from this office. <br /> <br />THIS PE~IT I$ NOT TRANSF~RRABL$ <br /> <br />SYSTEM SPECIFICATIONS: <br />Tgpe Of Sgstem: <br />Septic Tank Capacitg: <br />~neal Fee: Disposal Field= <br />Distribu~lon: <br />Disposal Trench <br />Filter Ma:erial D~pth: <br />~]inimum Soil Backfill: <br />Cuz~4aim Drain Required; <br />$$ecial R~quirement$: <br /> <br />No <br /> <br />Signature: Registered Sanitarian <br /> <br /> <br />