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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HiGH STREET NF <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> ~,,/0 .- ¢~;~: : ~e-~ :As,,~ ....... <br /> <br /> ......................... :.,~.~ ~:. ~ ~ ~,E,..,,..3.~...~o..~..~.......~ ~, ~ <br /> <br /> .......... .... , ..... <br /> ~ ~ , ~ ~ ~ , : ~ ..... .......... ~,,,.,.,,; ........... <br /> <br />1. The septic system mu~t be installed as shown above and must be inspected prior to cover. <br />2. All disposal trenches shaft be installed so ~ to follow the n~tural contour of the ground. <br />3. tf there are questions concerning the layout of the system, please caff our office prior to construction of the system. <br /> <br />Name'. ~L~J.~ ~ <br />Address: ~/q'~ I ~.- ~ C ~ & :'-'-'-'-'-'-'-'-'~ ~ <br />Legal Desoriptiom <br /> Tax Lot No. , <br />System Will Sewe ..... ~~.~ <br />Projected Sewage Flow: ~ gal/day <br />Water Supply: <br />issuance Date: <br />Expiration Date: <br />IMPORTANT: Keep this document with your re~rds. Show <br />this permit to the septic system installer pdor to installation <br />of the ~yatem. Any deviation from the approved plan must <br />have prior approval from this office. <br /> <br />Signature: <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Sopris Tank Capacity', ~ ~ gal. min. <br />Lineal Feet Disposal Fie!d: <br />Distribution:.. ~EgC--f <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; (~,~ No <br />Special Requirements: <br /> <br />Site Number:_ <br /> <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br /> <br />