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MARION COUNTY <br />COMMUNITY DEVt;;_LOPMi::NT 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 />I, -i-he ~eptic system must be i'nstalled as shown above and must be inspected prior to cover~ <br />2~ AIl d~sposal trenches shall be installed so as to follow the natural contour of the ground, <br />3 if there ~ra questions concerning the layout of the system, please ca# our off]ce prior to construction of the System. <br /> <br />Name:; ........ ~b A.'t'P._tc-J~ <br /> <br />Legal Description:: T,, Tax Lot No. <br />System Will Sewe: <br />Proje~ed ~wage FI0w~r ~ ~ gal/day <br />Water Supply: <br />IssuanCe Date: ~ <br />~xpiration Date; <br />IMPORTANT: Keep this do~nt with your rentals. Show <br />th~S permit to the septic system installer prior to installation <br />of the system,, Any deviation irom the approved plan must <br />have prior approval from this office, <br /> <br />SYSTEM SPECIFICATIONS: <br />Type et System;: ~ A-~' ~ .~.~':,,..~ ~ <br />Septic Tank Capacity: _._ f ~ gal rain <br />Lineal Feet Disposal Field: /©('~ .............. <br />Distribution: __ --~'L~'~'~' ~=.. <br />Disposal Trench Depth:; ~ ?./,-~. ~2_" <br />Filter Material Depth: ~~-"-~]'_ <br />Minimum Soil Backfill;: ~,~" <br />Curtain Drain Required: ( ) Yes; ~,~') NO <br />Special Requirements: <br /> <br />Site Number; <br />Permit Number:: <br /> <br />3 77g <br /> Registered Sanita~ia, n <br /> <br /> <br />