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<br /> MARION COUNTY
<br /> COMMUNITY DEVELOPMENT DEPARTMENT
<br /> BUILDING INSPECTION DIVISION
<br /> 220 HIGH STRt~ET NE
<br /> SALEM, OREGON 97301
<br /> PHONE: 588-5147
<br /> NSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM
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<br /> ..... ~ .............................. ~.........:......,,,,, ,~ ............................. '..~--~-~;-.,.,,,,,,~, :...........i ....................................
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<br /> ........ , ................ ~"'"'" '"'! .......................... ? ' .................. ?-'--'"F' '""?'"'"'"-F'-""""~ '"'"": ........................ i "-"i'"'"'"'""~
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<br />1. The septic system must be instal/ed as shown above and must be inspected pf~or to cover.
<br />2, Ail disposal trenches shall be installed so as to follow the natural contour of the ground.
<br />3, ff there are questions concerning the layout of the system, please call our office prior tO construction of the system.
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<br /> Name: ~'~/,~--/~/'~__ .~'~'~.'~7~0 S~F-M SPECIFICAZlONS:
<br /> AddresS: ~ ~¢~,¢7' ,~/~_, ~?-~ ITyp,e, of System:
<br /> LegalDe$oription; T_.~/__~_~ R ~._~ S ~:~/ . IISepbcTankCapacity; /r--,'~,.~4~, ' gal. mln,
<br /> Tax Lot No, ~ ~'~.~/~ -7-~- ,, Lineal Feet Dispos,.~l Field; /~'~- -
<br /> Distribution:
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<br />Disposal Trench Depth:
<br />Filter Material Depth:
<br />Minimum Soil Backfill_-
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<br />SyStem Will Serve:
<br />Projected Sewag[Flg, w: ~%"-~ ~,~ ~ g~l/day
<br />Water Suppty: ~ ~ ~-~/~ ,,,
<br />Issuance D~te: /~/~./~ ~ ,, " ,,, ,, ,'
<br />Expiration Date:....
<br />IMPORTANT: Ke~p this do~e~wit~ you~ reCeSs. Show
<br />this permit to the septic system installer prior to instaliation
<br />of the s~tem. Any decagon from
<br />have pdor approval from this office.
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<br />THIS PERMIT IS NOT TRANSFERABLE
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<br />Curtain Drain Required: ,,( ) Yes;, J~'), No
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