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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 SYSTEiVt <br /> <br />eot)o system must be install~ d as shown above and must be inspected Drier ~o cover. <br /> <br /> ' ?)~e $5 <br />2 A ~! d/SPosal trenches shaft be installed so as to follow the natural contour of the ground. <br />3 tf there are questions concerning the layout of the system, please call our off, ce prior to construction of the system <br /> <br />Name:: ,.'~'¢,(' (~ U ~ <br />Address:: _~_OOr q ~ <br />Legal Desoription:: T <br /> fax Lot <br />System Will Serve:: <br />Projected Sewage Flow:: .... L~ gal/day <br />Water Supply: <br />Issuance Date, <br />Expiration Date: <br />iMPORTANT: Keep this document w[th your records Show <br />this permit to the septio system installer prior to installation <br />of tl~e system, Any deviation from the approved plan must <br />have prior approval from th~s office <br /> <br />SYSTEM SPECIFICATION% <br />Type of System ~r-~ ¢J [L~,¢ ~ ...... <br />Septic Tank Capacity:: _,~- ' :~, '"", ~ c~:__gal rain <br /> <br />Lineal Feet Disposal Field:: .~,_:z_~-q- <br />Distribution:: <br />Disposal Trench Depth:: <br />Filter Material Depth: f%" _ <br />Minimum Soil Backfill:: <br />Cudain Drain Required; ( ) Yes; (~ No , <br /> <br />Site Number:: <br />Permit Number:: <br /> <br />Registered Sanitarian <br /> <br /> <br />