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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPEGTION DiViSION <br />~-20 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> I. The septic system mu~t be in,tailed as shown above and rnu~t be inspected prior to cover, <br />2, All disposal trenches $1~ail t~a instal/ad so as to fo/iow th~ natural cOntour of the ground. <br />3. If there are questions concerning the layout of the systam, p/ease call our office prior to construction of tha system. <br /> <br /> Name: ,._'~H/,,.% ~.~ ~-'t~ ..... <br /> Address I.~/,~ ~'~ ~ ~ <br /> LegaIDes~ptlon: T~_ _fl '~ ~ S ~ <br /> Tax LOt No, ~. -~ ~ <br /> Sy~em ~11Se~e: ~t ~ <br /> Proje~ed Sewage Flow:, q,~ .... ~aEday <br /> water Supply: ~(~ ~ ~ ~ <br /> Issuance Date: .........~ ~ ~ [ ~ <br /> Expiration Date:_ ~ - I { -~ ' <br />iMPORTANT: Keep t~is document with your reco~s. Sh~ <br />this petit ~ the ~ptic system instaaer p~or to install~on <br />of the system- ~y devi~ lrom thc ~Dp~v~ pl~fl ~ <br />have pdor approv~m this office. ~ <br />I THIS PERMIT IS ~N~-- <br />[,,,,Signature: ~ ~ ~ ~ ~. ~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System;, . ,,~=Y~kS~¢,~ D <br />Septic Tank Capacity: I (~ ~ gal, min. <br />Lineal Feet Disposal Fie~d: ~-~ ? ~' ~ '- <br />Distribution: ;.,~'~l~-J ~ <br />Disposal Trench Depth; ~~ <br />FiiterMateria Depth: . /,5;', <br />Minimum Soil Backfill: l ~" <br />Curtain Dra~n Required: ( ) Yes; (~ No <br />Special Requirements: <br /> <br />Site Number: t O~' I' <br />Permit Number:_ ~t~ \ L~ <br /> Registered Sanitarian <br /> <br /> <br />