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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 /> I 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 questions concerning the layout of the system, please call our office prior to construction of the system <br /> <br />Name:_ ~lbto i~e.&¢-*~ <br />Address; ~8~t4q ¢~WL~,~ p,~¥~ $6Z <br />Legal Description:: T ~ R ~ S %~ <br />%ax Lot No,, <br />System Will Se~e:: ~ ~ <br />Projected Sewage Flew; ~ gal/day <br />Water Supply: ~ e~ ~ <br /> <br />Issuance Date: ~ -~-~ <br />Expiration Date: ~- ~ - ~ <br />IMPORTANT: Keep this document with your records,, Show <br />this permit to the septi6 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 />Signature' [~ ~ ~ <br /> <br />SYSTEM SPECIFICATIONS:: <br />Type of System:: .~"~ <br />Septic Tank Capacity:: f O~,,~.~._ __ gal min <br />Lineal Feet Disposal Field:: <br />Distribution:: ~'~.~,t <br />Disposal Trench Depth:: "~ ' - ,.,~" <br />Filter Material Depth:: <br />Minimum Soil Backfill:: I ~-" - <br />Curtain Drain Required:: 0~") Yes; ( ) No <br />Special Requirements: q <br /> <br />Site Number:: ,, <br />Permit Number:: <br /> <br />Registered Sanitarian <br /> <br /> <br />