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MARION COUNTY <br />220 HIGtl ST NE DEPARTMENT OF ENVIRONMENTAL SERVICES <br />,$~T~'~ OR 97301 BUILDING INSPECTION DIVISION PH. 588~5147 <br /> <br /> SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTTON INSTAI~LATION PE~J47T: <br /> <br /> l, The? septic sys~e~ m~at be installed as shown above add must be inspected prioz to cover. <br /> 2. A~l d~s'po~a) tzenches shall De installed sO as to follow th~~_ natL~£al conto(l~ o£ the guound. <br /> 3, I2 there are q~(~_stions concerning the layout of the $gstem, p!case ca~.£ our offi¢'e prior to <br />....... c.-~og?~truction of the sgstem. <br /> <br />Lc!gal Description: <br /> Iax Lot NO. <br />Syetem WII~ Serve: <br />Pz'ojectud Sewage <br />Water Supply: <br /> <br />E~pirat~on Date: <br /> <br />IMPORTANT: ~eep this document with your <br /> ~eoords. Show this permit to the <br /> septic system installer pr~o~ to <br /> installation of tho system. Any <br /> depiction fzom the approved plan must <br /> haw? p~o£ approval Erom this office. <br /> <br />TtlTS P~R~IT IS NOT T~NSFER,R~,BLE ~ £~ <br /> <br />Signature: ~~ <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />Ty~e of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: <br /> <br />Filter Matezial Depth: <br />Minimum Soil Backfill: <br />Cu~Caln Drain Required: <br />Sp~ciaI Requirements: <br /> <br /> <br />