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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 SYSTE t <br /> <br />,' l he sepfic system must be installed as shown above and must be inspected pr/or to cover, <br />2 Ali disposal trenches shall be in,tailed so as to follow the natural contour of the ground, <br />3, If there are questions 60nceming the layout of the system, please call our office prior to construction of the system, <br /> <br /> Addres¢:: c~ L;"7 <br /> Legal Oescription: T <br /> Tax Lot No <br /> System Will Serve: __ <br /> Projected Sewage Flow:: <br /> Water Supply:: <br />' fssuance Date:: <br /> <br />gal/day <br /> <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 tt~e system,, Any deviation from the approved plan must <br />have prior approval from this office. <br />THIS PERMIT IS NOT~-P,~N~FER~[~E~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System:: <br />Septic T~.nk Capacity',, <br /> <br />Lineal Feet Disposal Field:: <br />Distribution:: <br />Disposal Trench Depth:: I ~ <br />Filter Material Depth:: <br />Minimum Soil Backfill:: __ ('~2 <br />Curtain Drain Required: ( ) Yes; (~ No <br />Special Requirements:: <br /> <br />Site Number;: __, <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br /> <br />