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MARIO~ COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING iNSPECTiON DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHQNE: 588-...5147 <br /> <br />)N 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 tl~e natural contour of the ground. <br />3. It there are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Legal Description: T q S R ~__ S ~ , <br />Tax Lot No. <br />System Will Se~e: <br />Projected Sewage Flow: q ~ gal/day <br />Water Supply: ~/ <br />Iscuance Date: <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 from the approved plan must <br />have prior approval from this office, <br /> <br />Signature: ~[ <br /> <br />I SYSTEM SPECIFICATIONS: <br />Type of System:__ ~.-~I'~,~A,~.D__ ....... <br /> Septic Tank Capacity: ...... L~ ...... .qa reiik <br /> Lineal Feet Disposal Field: <br /> Distribution: .-~,~'(-~ ,~ <br /> Disposal Trench Depth: -~-'~%~_~ <br /> Filter Material Depth: <br /> Minimum Soil Backfill: <br /> Curtain Brain Required: ( ) Yes; (~) No ........ <br /> Special Requirements:,,,~.¢~~'-' <br /> <br />Site Number: <br />Permit Number: <br /> <br />__Registered Sanitarian <br /> <br /> <br />