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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING ~NSPECT~ON 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 />? <br /> <br />I. ?'he 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: ~/~ ~.r~A~-_,~r'~ ~'~P~_~j~ <br />Address: '~OE~7 ~t ~ ~E <br />Legal Description: T~ R~¢ S <br />Tax Lot No. <br />System Will Se~e: ~ ~ ¢~ <br />Projected Sewage Flow~ q %O gal/day <br />Water Supply: <br />Issuance Date: D - ~ ~ <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 <br />have prior approval from this office. <br />THIS PERMIT IS N~T~NSEER~E ~ <br /> ,,_ <br /> <br />SYSTEM SPECIFICATIONS; <br />Type of System: ,. ~%'"77~ ~,3¢~,~,O ..... <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: ~-~ <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Cudain Drain Required: ( ) Yes; ~ No <br />Special Requ rements: <br /> <br />Site Number: <br />Permit Number: <br /> <br /> Registered Sanitarian <br /> <br />MC 15-57 Rev, 1/~1 <br /> <br /> <br />