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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. Tile 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 />Name: <br />Addrees: <br />Legal Description: T.~..LL~__ R l <br /> Tax Lot No, ~'~0 -~ <br />System Will Serve: ~b:~%[ ~ ~k3d_~F- <br />Projected Sewage Flow: .___,_~q ~:) gal/day <br />Water Supply: ~_ t ~ L%c <br />Issuance Date: ~- t t ~ [ <br />Expiration Date: L[ -- It <br />IMPORTANT: Keep this document with your records. Show <br />this permit to the septic system instaIIer prior to installation <br />of the system. Any deviation from the approved plan must <br />have prior approvehf,[om this office. ~I <br />THIS PERMIT IS ~IF/~.. NSF,~~" <br />Signature: ~,~o,~,~/t,~ gc//k3 <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: .~'-%¢~bA~.O <br />Septic Tank Capacity: l OD~) ....... gal. min. <br />Lineal Feet Disposal Field: ~ ? .~' ~ <br />Distribution: ,.~'~P-.-t ~ <br />Disposal Trench Depth:~-- ~,'. .............. <br />Filter Material Depth: /.~L' <br />Minimum Soil Backfill: / ~" <br />Curtain Drain Required: ( ) Yes; (,.~ No <br />Special Requirements: <br /> <br />Site Number: 1 ~....~ <br />Permit Number: ~/~ <br /> <br /> Registered Sanitarian <br /> <br />MO 15-57 Rev, 1/91 <br /> <br /> <br />