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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, 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 constn~ction of the system, <br /> <br />Name: /~"~-~_'~'Y~, "~'~~ _ .,~ SYSTEM SPECIFICATIOI',~ <br />Address: "/~ ~ ~ ~ ~...~~vDe of Svstem' <br />Lega~De~cr~tion:~ ~~/~/. I ~pticTa~kOa~acty ~¢~,~"' <br />· ax Lo[ NO. '~¢, ~,7~ ~~ ~1 L nea Feet Disnn~al Fiel~.- <br />System Will Se~e: ~¢~/..~ r I ~istribution: ~ ~ <br />~rojec~d Sewage Flow:. _ ~ .... gal/day Disposal Trench ~pth: <br />~ater bu~ply: /~2~// ,-_.~ . Filter Material Depth: <br />~ss~anfe uate: . /~/~ ..... .. Minimum Soil Backfill: . <br />~p~rat~o~,Date: . . . ~¢~/~'F . Cu~ainDrain: ( )Yes; <br />(Heques[ r~r re~ewa~ of th~s permit must be made ~ the Special Require~en[s <br />expiration date.) ~ ~ <br />IMPORTANT: Keep this document with your records, Show this <br />permit to the septic system installer prior to installation of the ~ ~ ~ ~ <br />system. Any deviation from the approved plan must have prior Site~umber: <br />approval from t~office, /~ ' ¢ '~ Permit Number: <br />si;.,t~.~ ~,.¢ ~ / ~ ~¢~ T,~S PERM*T ~S NOT TRANSFER~ <br /> <br />MC 1~S7 <br />REV. 11~2 <br /> <br /> <br />