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220 ~IIGIt ST NE <br />SALEM OR 97302 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION BIVISION <br /> <br />588-5247 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />1. ~e 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 prior to <br /> <br />construction of the ~s~stem. <br /> <br />Tax l~lt NO. <br /> <br />SYSTEM SPECIFICATIONS: <br />T~pe of s~stem~ -- <br />Septic Tank Capaci=y:__ <br />Lineal Feet Disposal Field:.. <br /> <br />gal. min <br /> <br />System Will Serve:- <br />Projected Sewage Flow: ~,~ <br />Water Supply: <br />.~ssuanoe Date: <br />Expiration Date= <br /> <br />_ gal~day <br /> <br />IMPORTANT: Wee'p this docu~nt with your <br />records. Show this permit to the <br />septic system installer priom to <br />installation of the systcm. A~y <br /> <br />Distribution: <br /> <br />Disposal Trench Depth: ~ ~- ~'~ <br />Filter Material De~th: <br />Minimum Soil Backfill: ..... <br />Curtain Drain Required: (~) Yes; ( <br />Special Requirements: <br /> <br />deviation from the approved plan must <br />have prior approval from thia office. <br /> <br />Ragla~e~ed Sanitarian <br /> <br /> <br />