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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 />r, Tile septic system must be instafled as shown above and must be inspected prier to cover. <br />2. Ali disposal trenches shall be installed so as to follow the natural contour of the ground. <br />,9, if there are questions concerning the layout of the system, please carl cur office prior to constructier) of the system. <br /> <br />Name: "~:bk~ ¢¢..- b ~;,¢¢__~ ATtO <br />Address: f~'~} ,.~¢~-F'F ~O~Ez,~q~.Or ~ <br />Legal Description: T l O~ R ~S / <br /> Tax Lot No. ~O~- ~ <br />System Will Se~e: U~Sf UE~ ~ ....... <br />Projected Sewage Flow: ' ~ ~ gal/day <br />Water Supply: ~ ~ b~ol, <br />Issuance Date: ~¢ - I ~ ~ ( <br />Expiration Date: [~ - (~ --¢ % ..... <br />IMPORTANT: Keep this document with your records. Show <br />this permR to the septic system installer pdor to installation <br />of the system. Any deviation from the app~ved plan must <br />have prior approval from this office. <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: ~~ .... gal, min, <br />Lineal Feet Disposal Field: <br />Distribution: ~I <br />Disposal Trench Depth: ,,, ~.q __~t--- ___. <br />Filter Material Depth: .L~ <br />Minimum Soil Backfill: 1'~'~ <br />Curtain Dr,~in Required: ( ) Yes; (,,~ No <br />Special Requirements: <br /> <br />Site Number: <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br /> <br />