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220 NIGH ST NE <br />SA LEM OR 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDINO INSPECTION DIVTSION <br /> <br />PH. 585-$147 <br /> <br />ON-SiTE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION fNSTALLATrON PERMIT: <br /> <br />I. <br />! <br /> <br />The septic system must be installed as ehown above and must be inspected prior to cov~_,r. <br />All d.~sposal trenches shall be installed so as to follow the natural contour of the ground. <br />If the~'e are questions concerning the layout of the system, please call ou~ office prior to <br />construction of the s~jstem. <br /> <br />Lega.1 Description: <br />Tax Lot NO. <br />S!~ste~ Will Berve: <br />Projected Sewage Flow: ~ gal~day <br />Water Supply: <br />Issuance Date: ~ ~ ~ 0 <br /> <br />IMPORT~.NT: ~ee'p 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 />S~STEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Peet Disposal Field: <br /> <br />Distribution: <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: <br />Special Requirements: <br /> <br />( ) Yea; (~.) NO <br /> <br />gal. min. <br /> <br />PERMIT NUZIBER: <br /> <br /> <br />