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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 />/ <br /> <br />J <br /> <br />1. The septic system must be <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 conetruction of the system, <br /> <br />Name: ~A¢~-f ¢'~d' <br />Address: I, -gq <br />Legal Description: T ,,, <br /> Tax Lot No. ~t~ <br />System Will Serve: <br />Projected Sewage Flow: I ~O gal/day <br /> <br />lasuanco Dato: <br />~x~iration ~at~: ,,,~ <br />(~oqu~st for ronowal of this p~rmit muot Bo mad~ prior to tho <br />oxpkation <br />I M~O~IA~I: Koo~ this document with your mcor~o, Show thig <br />pormll to tho ~optie ~gtom ~nstallor ~rior to in~tallat~on o~ the <br /> <br />Signature ~ ~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ,~5:Pt'C.~E <br />Septic Tank Capacity: ~'×~%'rl ~- gel min. <br />Lineal Feet Disposal Field: <br /> . <br />Distribution: Depth: ,~"~ <br />Disposal Trench <br />Filter Material Depth: ..... <br />Minimum Soil Backfill: <br />Curtain Drain: ( )Yes;.. (/v...) No <br />Special Requirements: ~.tc.~b~-, <br /> <br /> Site Number: <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />REV. 11/92 <br /> <br /> <br />