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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-$147 <br /> <br />CONSTRUCTION PERMIT TO iNSTALL A SEPTIC SYSTEM <br /> <br />1, Tl?e septic system must be installed as shown above and must be inspected prior to cover. <br />2. All d/$posal trenches shall be installed so as to fellow 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: I '~',¢~ _¢~.,:~ <br />Legal Description: T,, <br />Tax Lot No, <br />System Will Serve: <br />Projected Sewage Flew: ,~ ~ gal/day <br />Water Supply: <br />Issuance Date: 7 <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 />THIS PERMIT IS N~ <br />Signature: <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: .~oo -~'F~b¢__ <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: __,,,....L-~-'~ <br />Distribution: <br /> <br />gal. min. <br /> <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: ( ) Yes; (,'~ No <br />Special Requirements:~"~, i <br /> b(s P05¢,~_ ~:, ~-L~ ~- ~,~,.,~ ..~.~"-"~-~-F~. <br /> <br />Site Number: <br />Permit Number: <br /> <br />,,, ~c~of o <br /> <br />Registered Sanitarian <br /> <br /> <br />