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270 H1G[! ST NE <br />SAb£~M OR 97301 <br /> <br /> MARION Co~TY <br />DEPARTMENT OF ENVIRONMENTAL SERVlCES <br /> BUILDING i'NSPE~'TION DIVISION <br /> <br />PH. 588-5147 <br /> <br />ON-SiTE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTTON INSTALLATION PERMIT: <br /> <br />2_ A) I disposal trenches shall be installed so as to foJ3ow the natural contempt o£ the ground. <br /> <br /> T~x Lot NO. <br /> <br />Projected Sewage Flo~: ~ ~ga2/day <br />Water Supply: <br /> <br />SYSTEM SPECIFIGATrONS: <br />Type of System: ~'~.~J~r~-,~ <br />Septic Tank Capacity: ~-~.~_ <br />Lineal Feet Disposa,:l ~ield: <br />D~stribution: <br />Disposal Trenc~ Depth: <br />~ilter Material Depth: .... <br />Minimum Soil Backfill: <br />Curtain D~ain Required: ( ) Yes; <br />Special Requizeme~ts: <br /> <br />~'_~P~?~_T_~_~T~_ ~e~p this dOCuK~nt ~ith your <br /> r~corda,'. Show this permit to the <br /> septic s'~stem installer prior to <br /> installation of the system. Ang <br /> duviation from the app,poved plan must <br /> have pzior approval from this office- <br /> <br />PERMIT <br /> <br />_ga~, rain, <br /> <br /> <br />