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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. ff there are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Name:/L~_~ <br />Legal DescriptiOn: <br /> Tax Lot No. <br />System Will Se~e: <br />Projected Sewage Flow: ~ gal/day <br />Water Supply: <br /> <br />Expiration Date: <br />(Request for renewal of this permit must be made ~a the <br />expiration date.) <br />IMPORTA~: Keep this document with your records. Show this <br />permit to the septic system installer prior to installation of the <br />system. Any deviation from the approved plan must have prior <br />approval from ~offic~, ~ ~.,~' <br />Signature~ ~ ~/ ~. /~ <br /> <br />SYSTEM SPECIFIQATIONS;, m ,., _ <br />Type of System:~t~'?.~.. <br />Septic Tank Capacity: ':,'2F~,~.~ /~ gal min. <br />Lineal Feet D sposa F e d ~-- ~..~- <br />Distribution: .~:~t..,, <br />Disposal Trench D~th: ,~ <br />Filter Material Depth: / ~'~z' <br />Minimum Soil Backfill: <br />Cudain Drain: ( ) Yes; <br />Special Requirements: _.zc~..~Z~ z~-(--" . <br /> <br /> Site Number: ¢¢?/_ <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />