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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 ccntour 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: "~D¢¢.- b <br />Address: {~'~ <br />Legal Description: T .f <br />Tax Lot No. ~,O~- <br />System Will Se~e: ,, <br />Projected Sewage Flow: ' ~ gal/day <br />Water Supply: <br />Issuance Date: <br />Expiration Date: ~ r ~ - ¢ % ,,, <br />IMPORTANT: Keep this document with your records. Show <br />this permit to the septic system installer pdor to installstion <br />of the s~tem. Any deviation from the ~pp~ved plan must <br />have prior approval from this office. <br />THIS PERMIT IS NOT T~SF~AB~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: ? ~"~ <br />Distribution: <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; (:t~ No <br />Special Requirements: <br /> <br />..... gal, min, <br /> <br />Site Number: I '-~) ~ ("/ ...... <br />Permit Number: <br /> <br />.Registered Sanitarian <br /> <br /> <br />