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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 />t. The septic system must be installed as shown abc ve 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. It there are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Name: ~ '~l~ ¢'¢W ~4~ <br />Address: - '~'-:~ ~'t'"/-~-O~.~- ~ ~ <br />Legal Description: T ~ R f~ S ~% <br />Tax Lot No. <br />System Will Se~e: ~ ~ <br />Projected Sewage Flow: , ~ gal/day <br />Water Supply: ~ <br />Issuance D~te: /~ ~-~ ~ <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 PERMIT IS ~:~N~/~E ~___ <br />Signature: <br /> <br />SYSTEM SPECIFiCATiONS: <br />Type of System: ~ <br />Septic Tank Capacity: / ~O gal. min. <br />Lineal Feet Disposal Field: <br />Distribution: ~E~l¢-t <br />Disposal Trench Depth: ~%u¢ <br /> <br />Filter Material Depth: /")" <br />Minimum Soil Backfill: / ~ '~ <br />Curtain Drain Required: (/~) Yes; ( '~ No <br />Special Requirements: ~-/~'"' ~ .C-~ ~/'~-./'J <br /> <br />Site Number: <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br />MC 15-57 Rev, 1/91 <br /> <br /> <br />