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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />:~20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-$147 <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 cay our office prior to construction of the system. <br /> <br />Name: ~¢~T~C~-. ~'A E.-~I/ .... <br />Address: ,~... O~r~L-'=E~2---~--%~qF" PP-, , ~/~ <br />Legal Description: T.. /O~ R ~ S ~[ <br /> Tax Lot No, <br />System Will Se~e: ~l"O~ <br />Projected Sewage Flow: ~ gal/day <br />Water Supply: ~ 0¢ ~ <br />Issuance Date: ~- ~o- ~ ~ <br />Expiration Date: ~- ~O -G ~ <br />IMPORTANT: Keep this document with your records, Show <br />this permit to the septio system installer prior to installation <br />of the system, Any deviation from the approved plan must <br />have prior approval tram this office, <br /> <br />Signature: ~~/¢~7~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type ot System: ~~- <br />Septic Tank Capacity: _ I ~ __ gal rnin. <br />Lineal Feet Disposal Field: <br />Distribution: __ ..TL"~'~-/ <br />Disposal Trench Depth:, ~ <br />Filter Material Depth: <br />Minimum Soil Backtitl: / ..~ <br />Curtain Drain Required: ( ) Yes; ,(~') No <br />Special Requirements: <br /> <br />Site Number: <br />Permit Number: <br /> <br />__Registered Sanitarian <br /> <br /> <br />