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22~, HIGIf" ST NE <br />SALEM O~ 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH. 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATION PERMIT: <br /> <br /> I , , [ ! ........ t,,, I <br />1. ?he septic system must be installed as she~n above and must 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 of $ice prior to <br /> construction of the .s.~stem. <br /> <br />Legal Description: T~R__~__S Tax Lot NO. <br /> <br />Projected Sewage Flow~ ~ gal~day <br />Water Supply: ~__~ <br />zss~aeee Date: <br /> <br />IMPORTANT: Weep 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 />THIS PERM,? IS,N~. <br />Signature~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br /> <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution~ <br />Disposal Trench Depth~ <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( <br />Special Requirements: <br /> <br /> <br />