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MAR~ON COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING INSPECTION DIVISION <br /> · 220 HIGH STREET NE <br /> SALEM, OREGON 97501 <br /> PHONE: 588-5147 <br /> CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> ! : ' i ' ' <br /> ........... ;._.......[ ................................. i :..' ........!............[ .................................. i.....__. ~ ........... ; .............. !........ ~ <br /> <br /> ...... j ........... ~, ........................................ ~ ............................ : ........... : ......................................... F '"' '"'~ .................. <br /> <br />1. The septic system must be install~ a, ~hown a~ve and ~st ~ insp~ p~r ~ cover. <br />2. All di$~sal trenches ~haE be installed so as t~ ~llow the nat~l ~ntour of the g~u~. <br />3. If there are questions ~erning the layout of the system, please ~all our off~e p~r ~ const~ction of the system. <br /> <br /> N'ame: ~ ~ ~ .... SYS~M SPECIRCATIONS: <br /> L~el Description: T ~ R { ~ ~ S ~' Septic T~k ~pacl~: / ~ <br /> Un~ <br /> Disp~ <br /> Reid: <br /> Distflb~on: ~ ~ <br /> Projected S~age ~w: ~ ~' ....... ~ gal/day Di~p~al Tr~h Dep~: ~ E - ~" <br /> Water Supply: ~ I~ ~ ~' ~lt~ Mate~al Depth: ........ J~'~ . .. <br /> <br /> Expiration Date; ~ ~ ~ . Cumin Drain: ( ) Y~; (~ No <br /> (Request for r~ewal of this permit m~t be made Dr~ tO the Special Requir~ents: <br /> ~piration date.) <br /> IMPORTS: Kee~ this d~t ~th your r~ds. S~w t~ -. <br /> permit to ~he septic syst~ i~teller pr~ ~ in,ailerOn of the <br /> system. Any deviatlo~e a~p~d pl~t ~ve pri~ Site N~ber: . ~ <br /> from this 0~.~ ~~ Pe~it Number: ~ ~ <br /> Signature ~ ~ ¢/~ ~IS PERMIT IS NOT ~NSFE~BLE <br /> <br />_ gal. rain, <br /> <br /> <br />