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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 eepfic system mu$1 be installecl as shown above and mus! be inspe¢led prior lo cover. <br />£. All disposal trenches shall be installed $o aa to follow tha nafural contour of the ground. <br />3, If there ara questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Name: ~J']~[~.-~ ~!,,~ ~'¢ SYSTEM SPECIFICATIONS: <br />Address: <br />Legsl Description: <br />Tax Lot No. <br />System Will Serve: ',z~.~,~,~ ~)6~.~r' <br />Projected Sewage Flow: ¢' ~ft~ /-/,Sl~ ~ gal/day <br />Water Supply: Cl~'~ <br /> <br />issuance Date: ¢_~ -.~,¢ '~ <br />Expiration Date: ~ -¢ -~..~ <br />IMPORTANT: Keep this document with your records. Show <br />this permit to the septic system installer pdor 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 />Distribution: -~e~C--t ~ <br />Disposal Trench Depth: <br />Filter Matedal Depth; <br />Minimum Soil Backfill: ] ~ <br />Curtain Drain Required: ( ) Yes; (~"~ No <br />Special Requirements: <br /> <br />Site Number: <br />Permit Number: <br /> <br />gal, min. <br /> <br />Registered Sanitarian <br /> <br /> <br />