Laserfiche WebLink
MARION COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING iNSPECTION DIVISION <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> Cl )NSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> .,,.,- z <br /> <br />1. TIre septic ~yStem must be instal/ed as shown a~ve and must ~ inspected prior to coveL <br />2, All d/sposal trenches shall be installed so as to follow the natural Contour of the ground. <br />3, If there are questions ~nceming the layout of the system, please carl our office prior to construction of the system~ <br /> <br />Name: .... bTU~ H~-~ I I SYSTEM' SPECIFICATIONS: <br />Address: tL~"~[~ ~,L~Er~..5 ~/ ~ ~ ~ Type of System: .. ~~ <br />LegalDe~criptio~: T~ ~ S i% I l Septic Tank Capacity: , ~0 ,. gal. min, <br /> TaxLotNo. ~T I~ ~ ~5 ~ ~tU, H Lineal Feet Disposal Field: ~ ~ <br />System Will Sewe: ~O~C~ , II Distribution: ~-~ ~ ~0~ <br />Projected Sewage Flow: ,,, ~0 , gal/day Disposal Trench Depth: ....i~ ' ~ <br />Water Supply: .,~1~ ~ ~ Filter Material Depth: /~ <br />Issuance Date: ~; ~- ~1 Minimum Soil Backfill: ~ ~ <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 the system. Any deviation trom the approved plan must <br />have prior approval from this office. <br /> <br />Signature: ..... <br /> <br />Curtain Drain Required: ( ) Yes; (,.~ No <br />Special Requirements: <br /> <br />Site Number:_ <br />Permit Number: <br /> <br /> Registered Sanitarian <br /> <br /> <br />