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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 />1. The septic system must be installed as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed so as to follow the natural contour of the ground. <br />3, If there are questions concerning the layout of the system, please call our office prior to construction of the system, <br /> <br />Name: -~"~1~,~ <br />Address: I ~,q')~/' <br />Lega Description: ~,, <br />Tax Lot No. <br />System Will Se~e: <br />Proje~ed Sewage Flow: , /~ gal/day <br />Water Supply: ...... <br />I$suance Date: ~ ~* ~ ... <br />Expiration Bate: <br />IMPORTANT: Keep this document with your records. Show <br />this permit to the septic system installer prior to installation <br />of the ~ystem. Any deviation from the approved plan must <br />have prior approval from this office. <br /> <br />THIS PERMIT iS <br /> <br />Signature: <br /> <br />SYSTEM SPECIFIOATION~.S: <br />Type of System: .~/~,~- <br />Septic Tank Capacity: t ~ gal. min. <br />Lineal Feet Disposal Field: (~...~, <br />Distribution: <br />Disposal Trench Depth: <br />Filter Material Depth: ...~,r <br />Minimum Soil Backfill: <br />Ourtain Drain Required: .,,L) Yes; (K') No <br />S p e.c.,~.a I-¢-- ~¢ ¢..Z~- Requirements: ......~;t~ <br /> <br />Site Number:. <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br /> <br />