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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 />1, The septic system must be installed as shown above and must be inspected prior to cover. <br />2. Ail d/sposal trenches shaft be instafted so as to follow the natural contour of the ground, <br />3. If there are questions concerning the layout of the system, please call our office prior to construction of the system, <br /> <br />Name: ~, ¢_D c ~-~ <br />Address: /~o P~,~-~,~ <br />Legal Description: <br /> Tax Lot No. <br />System Will Se~e: ¢(~4 Ds:,~" <br />Projected Sewage Flew: ~' gal/day <br />Water Supply: <br />Issuance Date: ~- ~1 -R ( <br />Expiration Date: <br />IMPORTANT: Keep this document with your records, Show <br />this 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 /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: / ~ ,_gal. min. <br />Lineal Feet Disposal Field: <br />Distribution: <br />Disposal Trench Depth: ..... <br />Filter Matedal Depth: <br />Minimum Soil Backfill: ~ "' <br />Oudain Drain Required: ( ) Yes; (~) NO <br />Spwial Requirements: <br /> <br />Site Number: <br />Permit Number: <br /> <br /> Registered Sanitarian <br /> <br />MC 1§,§7 Rev, 1/¢~ <br /> <br /> <br />