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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 /> ~ Tt:~esepticsystemmustbeinstalledasshown pr/ortocover,, <br />'2 Ali clispos~l trenches shall be installed so as to follow the natural contour of the ground, <br />3 If ti)ere are questions concerning the layout of the system, please call our office prior to construction of tt)e system <br /> <br />Name ,_ <br />Address:: iV <br />Legal Description:: T __ <br /> Tax Lot No <br />System Will Serve:: <br />Projected Sewage Flow:: <br />Water Supply: <br />Issuance Date: <br />F-;xpiration Date:: <br /> <br />gaP/day <br /> <br />IMPORTANT: Keep this document with your records. Show <br />ti}is 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 />THIS PERMIT <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ~'T¢ r~.~ ~'.~,.¢-_F~ .......... <br />Septic Tank Capacity: / C(~ _gal rain <br />Lineal Feet Disposal Field', <br />Ui.~tribution:: ~"E: <br />Disposal Trench Depth:: ~L( - <br />Filter Material Depth: <br />Minimum Soil Backfill <br />Curtain Drain Required: ,,(.) Yes; (~ No <br />Spe~al Requirements:: ~L~ <br /> <br />Site Number: <br />Permit Number". <br /> <br />Signa{ure __ Registered Sanitarian <br /> <br /> <br />