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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 instafled as shown above and must be inspected prior to cover. <br />2. Ail d/sposal trenches shall be installed so as to follow the natural contour of the ground. <br />3. If there are questione ConCerning the layout of the System, please call our office prier to construction of the system. <br /> <br />Name: ~L¢, k.~ <br />Address: ~ ~'¢.~'~- <br />Legal Desodption: T~ R <br /> Tax Lot No. <br />System Will Se~e: <br />Projected sewage Flow: q~ ga~/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 prior to installation <br />of the system. Any deviation from the approved plan must <br />have prior approval from this office. <br /> <br />THIS PERMIT IS NO~ ~FE~~~ <br />Signature: <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ~'T~O 0~...~ ................... <br />Septic Tank Capacity: / ~ gal. min. <br />Lineal Feet Disposal Field: <br />Distribution: _~L::t~ <br /> <br />Disposal Trench Depth: <br />Filter Matedal Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: <br />Special Requirements: <br /> <br />( ) Yes; f¢~ No <br /> <br />Site Number: <br />Permit Number: <br /> <br /> Registered Sanitarian <br /> <br />MC 15-57 Rev. 1/91 <br /> <br /> <br />