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MARION COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING )NSPECTION DIVISION <br /> ,, 220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE; 588-5147 <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />prior to ~over, <br /> <br />1, The septic system must be insfallecl as shown above anti must be inspected <br />2. All disposal trenches sha[! be instatted So as to follow the natural Contour of the ground. <br />$, If there are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br /> Name: ~U~" K, ,~ ~-,__ )ISYSTEM SPECIFICATION.S: <br /> Address: ~ ~_~/,4~4.¢~G. ~ k.J~' ,,,, I{Type of System: <br /> Legal Description: T~ R._.L...~__ s ~ /{Septic Tank Capacity:, /~;~;~ .~gal. min. <br /> Tax Lot No .... ~r0~--(~ ~-- ~ , Lir~eal Feet Disposal F, etd: ?..~ <br />S ,tem w ,Se ,e: U! , o/ O W 'r, r, llDistribution: <br /> Projected Sewage FI~: /,~f'> ,' gel/day Disposal Trench Depth: <br /> Water Supply: ~. /.&.)f:-'-Z_4_- Filter Matedal Depth; _- ) ..%- <br /> Issuance Date; ~. -.Z '2...~ ~- Minimum Soil Backfill: <br /> Expiration Date: (¢, - .,%..'Z~"'!"~'_.~ Curtain Drain Required: ( ) Yes; p() No <br /> IMPORTANT: Keep this document with your records, Show Spe01al Requirements: <br /> ~his permit to the septic system installer prior to Installation ,,. <br /> of the system. Any deviation from the approved plan must <br /> have prior approval from this Office. <br /> THIS PERMIT iS NOTj'f'~ERS,~L/~,// ~ Site Number; c~ ~._ ) ~,~ <br /> Permit Number: <br />Signature: ~ ~~'~-~--~ Registered Sanitarian <br />MC 15-57 Rev, 1/91 <br /> <br /> <br />