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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUiLDiNG iNSPECTiON OIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-514'7 <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 />Address: _ (O'TR / ~¢.-k~T ~ ~ ~.. <br />Legal Description: T ..~5 R <br /> <br />Tax Lot No. <br />System Will Serve: <br />Projected Sewage Flow: __ t.~_.~ gal/day <br />Water Supply: , <br />Issuan6e 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 />THIS PERMIT IS~N-~ ,~AN~FJ~A,J~LE ,~ _ <br />Signature: ~,~//.u~/~~' <br /> <br />SYSTEM SPECIFICATIONS: <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: ( ) Yes; <br />Special Requirements: <br /> <br />(X) No <br /> <br />gal. min. <br /> <br />Site Number: ] <br />Permit Number: ~.~¢ <br /> Registered Sanitarian <br /> <br /> <br />