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220 HIGH ~T N~ <br />SA~M OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMBNT OF ENVIRONMENTAL SERVICES <br /> <br /> ........ BUILDINq INSPECTION DIVISION <br /> <br />585-$147 <br /> <br />ON-StT~ SEWAGE DISPOSAL SYSTEM <br />C__ONSTRUCTION INSTALLATION PERMIT: <br /> <br />1. The septic system mumt be installed as shown above and mu~t be inspected prior to cover. <br />2~ D21 disposal trenches shall be installed so as te follow th~ natural contour of the ground. <br />3. If there are questions concerning the layout of the system, please call our office prior to <br /> <br /> construction of ~he SyStem. <br /> <br />Address: 10~79 ~--T~W~, ~ <br /> Ta~ LOt NO. <br /> <br />Projected Sewage Pl~w:____~_~gal/day <br />water SUpplu: ~-~X~ ~ ~ ~ <br /> <br />IMPORTANT: ~eep this document with your <br /> records. Show th~s p~rmit to the <br /> septic system installer prior to <br /> iustallation of the system. <br /> deviation from the approved plan <br /> have prior approval from thi~ office. <br /> <br />SYSTEM SPEqIFICATI~IVS: <br />Type of Sgstem:,, <br /> <br />Lineal Fee= D~sal Field= <br />D~stribution~ <br />D~s~al Trench ~p~h= <br />Filter Material ~pth: <br />Minimum Soil Backfill~ <br />Curtain Drain Required: ( ) Yes; (~) NO <br /> <br /> <br />