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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, Ail 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 />Address: ~ ,~,,.~,...~..._,~/,6'*~ ~.-3.'-~ ~,¢:~ ~7~.,~,~.¢'..¢~/~..1f. <br />LegaIDes~';i~io~: T ~ R~__ S _~ / <br /> Tax Lot NO, <br />System Will Se~e: <br />Projected Sewage Flow: . ~5 ~ gal/day <br />Water Supply: <br />Issuance Date: , , ~/~p/~,~ <br />Expiration Date:__ ~~ ~ . <br />IMPORTANT: Keep this document w~h 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 />THIS PERM. IT~, ,T <br />Signature: <br /> <br />SYSTEM SPECIFICATIOn%. <br />,:-Type of System: ~ <br />Septic Tank Capacity: <br /> Lineal Feet Disposal Field: <br /> Distribution: ,~ <br /> Disposal Trench Depth: ~~~_~ <br /> Filter Material Depth: <br /> Minimum Soil Backfill: <br /> Cudain Drain Required;' <br /> Special Retirements; <br /> <br /> <br />