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220 HIGH ST NE <br />SALEM .OR 9~301 <br /> <br />DEPARTMEN~ OF ENViRONMeNTAL SERVICES <br /> BUI%DING, INSPECTION D~VISION <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCT. ION INSTALLATION p~RMIT: <br /> <br /> 1. The septic system muSt be installed as shown above and must be inspected prior to cover. <br /> 2. All disposal trenches shall be installed so as to follow the natural contour of the ground. <br /> 3. If there are questions concerning the layout of the system, please call our office prier to <br />................ ~on~trl)ct~o~ o~ th~ s~stem. . ..................... <br /> <br /> , Tax Lot No. <br />Projected Sewage <br />Water Suppl~:~ <br /> <br />IMPORTANT~ Ke~p this document with your <br /> rocorda. Show this permit to the <br /> septic system installer prior to <br /> installation of the system. Any <br /> dev~atio~ from the approved plan must <br /> have prier approval fro~ th~s office. <br /> <br />T_?{~.S....PERMZT IS NOT TRA~SF~RRA~ <br /> <br />Signature: <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />Septic Tank Capacitg: <br />Lineal Feet Dis~sal Fi~ld~ <br />nist~bution~ <br />D~s~sal Trench <br />Filter Material <br />Minimum Soil Backfill: <br /> <br />___gal. min <br /> <br />...... Registere~d Sani]Sarian <br /> <br /> <br />