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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 />Tl~e septic system must be installed as shown at, ore and must be inspected prior to cover. <br />Ali disposal trenches shaft De lostalled so as to fo/iow the naA/ral contour of the ground. <br />if there are questions concerning the layout of the system, please call our office prior to COnstruction o/the system <br /> <br />Address:: [~D(~ [ <br />Legal Description:: T~ R <br />Tax Lol No <br />Sysfem Will Se~e:: '~~ ........ <br />Proje~ed Sewage Flow: ~ , , gal/day <br />Water Su~ly: ~/~ <br />Issuance Date;: ~ <br />Expiration Date:: <br />IMPORTANT: Keep this do~ment with your re~rds. Show <br />this permit to the septic sy~em installer pdor to installation <br />of the system. Any de~ation from the a~m~d plan must <br />have prior approva[ from this office. <br /> <br />SYSTEM SPECIFICATIONS; <br />Type of System; <br />Septic Tank Capacity: !~3 gal. min <br />Uneal Feet Dis~sai Field:~__ _~_ <br />Dist~bution: <br />Dis~sal Tre~h Depth: ..... ~,- ~' _ <br />Filter Matedal Depth: _~" <br />Minimum ~il Backfill: ~,,~ <br />Cudain Drain Required: ( ) Yes; ~ No <br />Sp~ial Requirements:: <br /> <br />Site Number: <br />Permit Number: <br /> <br />__.Registered Sanitarian <br /> <br /> <br />