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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 />1. The septic system must be installed as shown above and must be inspected prior to cover_ <br />2. All disposal trenches shall be installed so as to follow the natural contour of the ground. <br />3. If there are questions concerning the layout of the system, please call Our office prior to construction of the system. <br /> <br />Address: ~%S'- ~;~c,3~ ~¢_,. ~'~ <br />Legal Description: T <br />Tax Lot No. <br />System Will Serve: <br />Projected Sewage Flow: _ LI 2~ gal/day <br />Water Supply: <br />Issuance Date: ,_'~"-"-' ~-. ~'~ <br />Expiration Date: <br />IMPORTANT: Keep this document with your records. Show <br />this permit to the septic system installer pdor to installation <br />of the system. Any deviation from the approved plan must <br />have prior approval from this office. <br />THIS PERMIT ,~/N/N~T~'~AN~./~B~...... <br />Signature: <br /> <br />SYSTEM SPECIFICATIONS~. <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: <br /> <br />gal. min. <br /> <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: <br />Special Requirements: <br /> <br />( ) Yes; (,,~ NO <br /> <br />Site Number: <br />Permit Number: <br /> <br /> Registered Sanitarian <br />MC 15.[~7 Rev, 1191 <br /> <br /> <br />