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220 ~GH ST NE <br />SALEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSFECTION DIVISION <br /> <br />PH. 585-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br /> J I I i I I ~ <br /> <br />1. The 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 o2 the ground. <br />3. If there are questions concerning the legout of the system, please call our office prior to <br /> construction of the s_~.stem. <br /> <br />Legal Description:' T Tax Lot No, <br /> <br />Projected Sewage Flow:~gal/day <br />Water Supply: <br /> <br />Expiration Date: <br /> <br />IMPORTANT: ~¢eep this document with your <br /> record.~. Show this permit to the <br /> septic system installer prior to <br /> inst~llatio~ of the system. Any <br /> deviation from the approved plan must <br /> have prier approval from this office, <br />THIS PERMIT IS.NOT~~. <br />S~gnature~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System;~__~ <br />Septic Tank Capacity: <br /> <br />Lineal Feet Disposal Field: / <br />Distribution: ~ <br />Disposal Trench Depth: ~ <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; <br />Special Requirements: <br /> <br />gal. min. <br /> <br />( ) No <br /> <br />PERMIT NUf~BER :_~_.___ ............. <br /> <br /> Reg.f~tcred Sanitarian <br /> <br /> <br />