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MARION COUNTY <br />220 HIGH ST NE DEPARTMENT OF ENVIRONMENTAL SERVICES <br />SALEM OR 97301 BUILDING INSPECTION DIVrSION PH. 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br /> <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br />1. The septic system must be installed as shown above 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 /> construction of the s~stem. <br /> <br /> Tax Lot NO. <br /> <br />Projected Sewage Flow: ~, gal/~ay <br /> <br />Issuance Date: ~-- <br /> <br />SYSTEM SPECIFICATIO__N~ <br /> <br />Septic Tank Capacity: ~ _~3 ga,7 , min. <br /> <br />Lineal Feet Disposal Field: <br />Distribution: ~-~--~ <br /> <br />Minxm~m Soil Backfill: <br /> <br />Special Requirements: <br /> <br />~'~P__O,~N__T.i' Neep this document with your <br /> records. Show this permit to the <br /> septic system installer prior to <br /> iDstaIlation of the system. Any <br /> deviation from the approved plan must <br /> have prier approval from this office. <br /> <br />T~IIS PERMIT IS NOT <br /> <br />Signature: <br /> <br />, Registered sanitarian <br /> <br /> <br />