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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, QREGON 97301 <br /> PHONE: ~8-5147 <br /> <br />CONSTRUCTION PERMIT TO iNSTALL A SEPTIC SYSTEM <br /> <br />1, The septic system must be in~talled as shown above and must be inspected prior to cover. <br />2,, All disposal trellches shall be lo,tailed $o as to follow the natural Contour of the ground, <br />3, If there are questions concerning the layout of the system, please call our offioe prior to construction of the system. <br /> <br />Address: J '~---'~ ~-,,~'~ <br />Legal Description; T <br />Tax Lot No, ~[ ~ -oeo <br />System ~11 ~we: <br />Proje~ed ~wage F~w: ~ ~ gal/~ <br />Water Supply: ~ .., <br />issuance ~te: <br />Expiralion Date: <br />IMPORTANT: Keep this ~nt web y~r <br /> this per~t to the se~c symem in~aller p~r to installation <br /> of the s~tem. AW de~aion from <br /> have ~or a~roval from this offi~. <br />THIS PERMIT iS N~ <br />Signature; <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: .--~'/~J~ <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: <br /> <br />_gsI. rnin <br /> <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required:~( ) Yes; (,~ No <br />$.pe~_ iai R~;tuirements: ~li (.E' <br /> <br />Site Number: .. <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br /> <br />