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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 />,!, <br /> <br />1. The septic system must be installed as showll above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed so as to follow the natural c~ntour of the ground. <br />3. if tt~ere are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Legal Description: '['. <br />Tax LOt No. <br />System Will Serve: <br />Projected Sewage Flow: . . /L~ ,, gaF/day <br />Water Supply: .......... <br />Issu,~nPe Date: ~ -2.~_.- ¢.2. ..... <br />Expirmion Date: ~,, -2-~'Z. ~..~ <br />IMPORTANT: Keep this document with your records. Show <br />this Permit to 1he septic system installer prior to installation <br />of the system. Any deviation from the approved plan must <br /> have prior approval from this office. <br />THIS PERMIT IS~ <br />Signature: <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ._~,,~- <br />Septic Tank Capacfty: ~ t ~ gal <br />IJneal Feet Disposal Field:' (~ ~ <br />Distribution: ~ <br />Disposal Trench Depth: ~ ~. ~ ¢' <br />Filter Material Depth: ...~,,r (~ <br />MipJmum Soil Backfill: ~ '~ <br />Curta, in Drain Required: ..L) Yes; {t(')"No <br />8pe~al Requirements: ¢,)t'-~'d~t.e,~J~E~--?'' <br /> <br />Site Number:,. <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br /> <br />