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220 H'[GI! ST NE <br />· S~LEM' OR 97301 <br /> <br /> MARION CouNTY <br />DEPARTMENT Or ENVIRONMENTAL SERVICES <br /> <br />RN. 585-5147 <br /> <br />ON-SrTE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br /> ~,. Thc septic ¢*~st¢m must be instmll~d as shown e~ove and must be inSl~cted prior to cov~.r. <br />2. Ail dis~sa] t~eDches shall be installed so as to follow the nat~ral contour o¢ the ground. <br />3, If there are questions coz~cer~l~g the layout of the system, please call OUr office prior re <br /> c,~o~t~u~e qf the s~st~m~ ................ <br /> <br /> I~gal ~.~c~i'ptiun: T {~ R ~ S ~% Septi~ Tan~ Ca~acity~ ~0 gal. <br /> <br /> Tax Lot NO. Lineal Feet Disposal <br /> <br />P~o~ccted Sewag= Flow= ~4h-~ gal/da~ Disposal T~ench Depth:., <br />W~te~,gupply: {~.r~ Filter Material <br />Issuance D~te:__~ ~-~{ __ Minimum Soil Backfill <br /> <br /> Special Requircment~ <br /> <br />IMPOR~A~T: ~eep this doeun%gnt with 9our ..... <br /> records. Show th£s ~ermit to the <br /> ~cptic ~yatem installer priom to <br /> inbtm]?ation of :he system, Any <br /> ~V~ation from ~he approved plan <br /> h~ prior approval fro~ this office. <br /> <br />S~gauture: --- <br /> <br /> <br />