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220 H~GH ~T~NE <br />SALEM OR 97301 <br /> <br /> cOUNTY <br /> <br />INSPECZION DIVISIO~ <br /> <br />PH. 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION JNSTALLATION PERMIT: <br /> <br />I t t <br /> <br />-I <br /> <br />! ,t ,,,t i I i <br /> <br />l. The septic system must be installed as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed ac as to follow the natural contour o£ 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 system. <br />Name:~_~~~ <br /> <br />5egal Description: <br />Tax LOt NO. <br />System Will Serve: <br />Projected Sewage Flow= ~0 gaS/day <br />Water Supply~ <br />Issuance Dat~: <br /> <br />iMPORTANT: ~eMp this document with your <br /> records. Show this permit to the <br /> septic system installer prior to <br /> installation of the system. Any <br /> deviation from the approved plan must <br /> have prior approval from this office. <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />~T_M. IS.~PERMIT IS NOT TRANSFERRABLE <br /> <br />Type of System: ~5%$~ ~qb <br />Septic Tank Capacity: .... I C~ _gal. min <br />Lineal Feet Disposal Field: <br />Distribution: ~G~W~ <br /> <br />Disposal Trench <br />Filter Material Depth: <br />Minimum Soil Backfill:' <br />Curtain Drain Required: ( ) Yes; ( ~ No <br />Special Requirements: ~ ~e~- <br /> <br />S~.g sfiered ~anitaria~ <br /> <br /> <br />