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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 /> L;UN:::i I HUI,; I iUI~I I~I:.HIVII I I U IN~ IALL A ~EF I IL; ~Y~ I b-- <br /> <br />~l~ / .... ~ ..... ~'~ ~ ~ ~y ~T~ <br /> <br /> ,,~i <br /> 1. 'The septic system mu }t b, ~ installed a~ shown above and must be IBS~OCtO~ prior to coveL <br /> 2. Afl disposal trenches ~'h, ~fl be instafled so as to follow the natural Contour of the ground. <br /> 3. ff there are duestio~s cc ~cernina tile Iavotif of the sv~tam nicaea ~11 n¢ ~r nffi~ ~ri~r tn ~tri ~cf¢~ ~f fh~ ~)/~, <br /> <br />Name: _~)~¢~-~c~0 '¢~S~o~E¢ ~.-.-.-.-.-.-.-.-.~C <br />Address', ~?~? H~'~X ~ ~ <br />LegaID~soriptiom T~ R ,,, ~ ~8 t~ <br /> Tax Lot No, ~L~ -~O <br />System Will Serve: k~ ~ E~ <br />Projected Sewage F?~: ~ ' (z% Em~ ) gal/day <br />Water Supply: ~ <br />Issuance Date: ~( ~(¢ ~¢~ <br />Expiration Date: ~,- ~ ~ <br />IMPORTANT: Keep this document with your records, Show <br />this permit to the septio system installer prior to installation <br />of the system, Any deviation from the approved p~an must <br />have prior approval from this office. <br /> <br />Signature: m-" ~ ~ ' <br /> <br /> SYSTEM SPECIFICATIONS: <br />Type of System: ,~%& ~J DA~© <br /> Septic Tank Capacity:/~¢._T~_ gal, min. <br /> Lineal Feet Disposal Field: ~:~ /~ ~ <br /> Distribution: --, ~'~q¢._.~.,¢~(~ _ ' ......... i .... <br /> DisposalTrench Depth:_ ~-~" /Hr/O~T~'~_--~ '--_-'~i-' <br /> Filter Material Depth: __] % ,t <br /> Minimum Soil Backfill: ) ~-" <br /> Cud[ain Drain Required: ( ) Yes; (~-¢No <br /> Special Requirements:__ <br /> <br />Site Number: ~'~ <br />Permit Number:-. ~'~/ <br /> Registered Sanitarian <br /> <br /> <br />