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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 />,5 'w- Ill <br /> <br />Tho septic system must bo i~stallod as shown abovo and must be inspected prior to cover. <br />All diSPosal trenches shall be installod so as to follow the natural contour of tho ground, <br /> <br />3, If thoro are questions concerning the layout of the system, please call our offloo prior to construction of tho systom. <br /> <br />LegaIDe~criptio~:: T ~ R ~ S ~/ <br />Tax Lot No,, <br />System Will Se~ , ~ ~~ <br />Projected Sewage~low: ~ ~ gal/day <br />Water Supply: ~/~,. rM~// <br />Issuance Date:: ~ r/~ / <br />Expiration Date::. ~~ ~ <br />IMPORTANT: Keep this ~cumEnt 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 pdor approval from this office. <br /> <br />THIS PERMIT IS NOT TRANSFERABLE <br />Si~natu~ ~J~/":~ ~ <br /> <br /> SYSTEM SPECiFiCATIONS" <br /> Typo of System:: <br /> Septic Tank Cap~"'/~8,,'j ...... , gal,, Tin <br /> Lineal Feet Disposal Fjel¢ <br /> Distribution:: ~~, <br /> Disposal Tren~epth: <br /> Filter Material ~epth:: ~ ¢ n .... <br /> Minimum Soil Backfill: <br /> Cudain Drain Required:~ ( ) Yes, ~ No <br /> Special Retirements: <br /> <br />/ /Site Number: ' ~ ~. ' ' -. <br />¢ , Per~ N~ber: <br /> <br /> <br />