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1. Tf <br />2. At <br />3. ff <br /> <br />MAR~ON COUNTY <br /> <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING INSPECTION DIVISION <br />~ 220 HIGH STREET NE U~ <br />J SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br />[CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTE <br /> <br /> septic system must be inStallerJ as sl~own al~o ye and must be inspected prior to cover. <br /> tisposal trenches shall be installed so as to fo/Iow the natural contour of the ground. <br />here are questions concerning the layout of the system, p/aase call our office prior to eons:ruction of the system. <br /> <br /> Tax Lot No, <br />System Will Serve: <br />Projected Sewage Flow: <br />Water Supply: <br />Issuance Date: <br />Expiration Date: <br /> <br />gal/day <br /> <br />IMPORTANT; Keep this document with your records, Show <br />this permit to the septic system installer pdor to installation <br />of the system. Any deviation from the approved plan must <br />have pdor approval from this office, <br />THIS PERMIT IS N(~~.. <br />Signature <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: i ~ gal. rain, <br />Lineal Feet Disposal Field: ~'~_%--- <br />Distribution: ~-~3E.J <br />Disposal Trench Depth: __ <br />Filter Material Depth: I <br />Minimum Soil Backfill: { <br />Curtain Drain Required: ( ) Yes; (,,~ No <br />Special Requirements: <br /> <br />Site Number; <br />Permit Number: <br /> <br />__Registered Sanitarian <br /> <br /> <br />