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220 ~TOII ST WE <br />&ALEM Oh 97301 <br /> <br /> MARION COUNTY <br />DEPARTMENT OF ENVIRONMENTAL SERVICES <br /> BUILDINO INSPECTION DIVZSIOW <br /> <br />PR. 588~5147 <br /> <br />( q~TE gEWACE DrSPOSAL SYSTEM <br /> <br />CONSTRUCTIO~ INSTALLATION PERMIT: <br /> <br />i. The septic sysfiem must be installed as sho~ <br />?. All disposal t~enches shall be installed <br />3. If there a~e questions concerning the lay~ <br /> construction o~ the el]stem. <br /> <br />address: <br />Leqal Descript.~on: <br /> <br />and must be ~nspected prio~ to co,er. <br />to follow the natural contour of the ground. <br /> the syeteRl, please ca~l our oCFice prior to <br /> <br />Type of <br />Septic <br /> <br />Pio~cctc] Se~ge Flow: <br /> <br />Expirat~o~ [)ate:_ ~- ~ <br /> <br />iMPORT.ANT: Weep th~s docu~nt with[your <br /> <br /> :nsta~tion of the system. Any <br /> deviation fro~ the approvod p]a~ <br /> baw~ prior appmow~l from this office. <br /> <br />Lineal Feet Field: ..... <br />Distribution: ~l ~.~ ~1 ~_~ <br /> <br />Curtain Drain Requxr~: ( ) ~es; (~) NO <br />Special Requirements: <br /> <br /> <br />