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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />The septic System must be installed as shown above and must be inspected prior to cover, <br />Ail disposal trenches shall be installed so as to follow the natural contour of the ground. <br />If there are questions concerning the layout of the system, please call our office pnor to construction of the system <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of Syetem:, <br /> <br />Address:; '~)~_, <br />Legal Description: T <br />Tax Lot No, <br />System Will Se~e: <br />Projected Sewage Flow: (~ %~ gal/day <br />Water Supply:: <br />Issuance Date: '?- ~- ~ / <br />Expiration Date; <br />IMPORTANT: Keep this document with your records,, Show <br />this permit to the septic system installer prior to installation <br />of the system. Any deviation from the approved plan must <br />have prior approval from this office,, <br /> <br />THIS PER~IT I~ <br /> <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field:: <br />Distribution: <br />Disposal Trench Depth:: <br />Filter Material Depth:: <br />Minimum Soil Backfilh <br />Curtain Drain Required;: <br />Special Requirements:: <br /> <br />( ) Yes; <br /> <br />Site Number: <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br /> <br />