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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STRI:r:T NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />t~ 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 call our office prior to construction of the system. <br /> <br />Name: ~_~c~5 L.t E' <br />Address; IL~ (¢ <br />Legal Description: T <br /> <br />System Will Se~e: ~..!~ <br />Projected Sewage Flow: q ~ gal/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 />Si~naturo: .... <br /> <br />SYSTEM SPECIFICATI.~NS: <br />Type of System: I¢.~Cl tO C) ~-~-~ 7-- <br />Septic Tank Capacity: ) O{~D gal, min. <br />Lineal Feet Disposal Field: -.--.-.~,, <br />Distribution: ....%6-t~-~ <br /> <br />Disposal Trench Depth: ..r.r.r.~. :~D,, <br />Filter Material Depth: ~ ~" <br />Minimum Soil Backfill: I ~" <br />Curtain Drain Required: ( ) Yes; (kc) No <br />Special Requirements: /~ 6,,?-¢~_u~-~.~1' ~,~,.~-, <br /> <br />Site Number: <br />Permit Number: <br /> <br />t -ff o <br /> <br /> ~Registered Sanitarian <br /> <br /> <br />