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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 />1, 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: .)7~1/-/~../~. ~,, <br />Address: <br />Legal Descri~tien: T~ R <br /> Tax Lot No. <br />System Will Se~'~ ~ <br />Projected Sewage Flow: <br /> <br />Issuance Date: ' ~//~/¢~ <br />Expiration Date: / ~/~/~ <br />IMPORTANT: Keep this d~cum~nt with ~our 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 /> SYSTEM SPECIFICATIONS: <br /> Type of System: ~/¢,'¢-z,/_.,.,.0~ ~.~ __ <br /> Septic Tank Capacity: /~,¢ ~ ...... gal. min. <br /> Lineal Feet Disposal Field: "~ ¢~ <br /> Distribution: ¢.,p ~, ~,- 4.-- ...... <br />gal/day D sposa Trench ~pth: ~ '%¢,~41~, ~~", <br /> Filter Matedal Depth; J 2-- <br /> Minimum Soil Backfill: ,/~ .]-~,~ /.~ <br /> Curtain Drain Required:..(., ) Yes; <br /> Special Requirements: ~¢_~.~;~, <br /> <br /> Site Number: ,/~ "'2~ ~ <br /> /--. Permit, Number: ~ ~'~ <br /> <br />THIS PER~T TRAN/~.RAB/E' <br />i Signature: ~ ~// <br /> <br />MC 15-5'/Rev, 1191 <br /> <br /> <br />