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MARION couNTY <br />220 HIGH ST NE ~ DEPARTMENT OF ~NVIRONMENTAL SERVZCES <br />SAI~M mR 97301 .... BUILDINC INSPECT£ON.,DIVISION <br /> <br />PII. 588-5147 <br /> <br />ON-SiTK SEWAGE DZ$ROSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />1_ The septic .~ystem must b~ instmll~d as shown above and must be inspocted prior to cover. <br />2. All disposal trench~,s shaI ~ be ~nsCalled so as ~o follow th~ natural oont~u~ of thc g~und. <br /> ~. ~ thcm~ ar~ qu~stio~s ~cer~i~g the layout of the system, please call our office prior to <br />construction of the system. , <br />Name :~ %, ~ ~ S~,~ STu~ SYSTBM SPECIFICATIONS: <br />Legal ~scrlption; T ~5 R ~ S ~ g~3. mi <br />Tax I~t NO. <br /> <br />~ater Supplq: ~. <br />E~pirat~on Date; q'~Q ~O ......... <br /> <br />1MPORT~NT~ ~p thi= WOC~uC with your <br /> records. Show thls ~rmit to the <br /> Septic ,~ystem installer prior to <br /> i~s~allat~on of the system. ~ <br /> deviatfon from the aB$roved plan must <br /> have prior app~ovaI from thim office. <br /> <br /> Type of System: <br /> Septic Tank Capacity: <br /> Line~l Fe~t Disposal Pield~ <br /> Distmibution~__.~ <br /> Disposal Trench Depth: <br /> Filter Material Depth:__ <br /> ~inimum Soil Backfill: <br />,Curtain Drain Required~ <br />~Special Rcquir~ment$: <br /> <br /> <br />