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MARION COUNTY
<br />COMMUNITY DEVELOPMENT DEPARTMENT
<br />BUILDING INSPECTION DIVISION
<br />2;'0 HtGH STREET NE
<br /> SALEM, OREGON 97301
<br /> PHONE: 588-$147
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<br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM
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<br />1, The septic system must be installed as shown above and must be inspected prior to cover,
<br />2, All disposal trenches shall be installed so as to follow the natural contour of the ground.
<br />$. ff there are questions concerning the layout of the system, please call our office prior to construcl/on of the system.
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<br />Legal Description:' T~(? ~ R .¢ I ~ $
<br /> Tax Lot No. ~.(~" ¢~,~* ' ~ ~'¢'
<br />System Will Se~e: ,,
<br />Pro ected Sewage Fl¢w: ~Y'-~'?'} gal/day
<br />WaterSupply: ,", '/.,/ ~,¢ ;;. ,'~.~'-/'~-"/~ /~'~?
<br />tssuance Date: / ¢,/~ /¢'
<br />Expiration Date: "/~',/?/.?.
<br />I~PORTANT: Keep t~'is documCnt"~ith ~o~r records. Shew
<br />this permit to the septic Cystem inetaller prior to
<br />of the system. Any deviation from the ~pproved plan mu~t
<br />have prior approval from this office,
<br />
<br />THIS PERMIT IS NOT TRANSFERABLE
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<br />Signature; ; /' (~ ,!~ ~'; ~'""'"'~. "'~ ~ ..:-'~ ~, ~
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<br />SYSTEM SPEC[FICATI©NS: -...
<br />Type of System: .... ,'~t-¢:~,,~ ¢,~t
<br />Septic Tank Capacity: /c' [' ¢'? gal, min.
<br />Lineal Feet Bispoe, al Field;
<br />Distribution: ~.~., .~¢ ,~ ~,,,1 ~.,
<br />DisposatTrench Depth: ,
<br />Filter Material Depth:
<br />Minimum Soil Backfill: / "~"
<br />Curtain Drain Required: ( ) Yes; ,(;,,') No
<br />Spec~ial Re~luirements: ,'~/,/,'~-l,~
<br /> · ....
<br /> /
<br />
<br /> Site Number: ( /
<br /> , ..;,c. 1t f,<, .- ;,,'" ,.
<br />¢-- Permit Number: ,-;~,;?,~f¥¢~,~-:,~./.,
<br />' .,~ I. ~, ¢ ¢~ '~" .Reg stered San tarian
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<br />MC 15-57 Rev. 1/21
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