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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 />f . The septic system must be installed as shown above and must be inspected prior to cover. <br />2. All d~poSal tronchee ~hall be in$lalled so as to follow the natural contour of the ground. <br />3. If there are queStiOns conCerning Zhe layout of the system, l~lease call our office prior to con~trucfion o! the system. <br /> <br />Leg31Descr[ption: T~ R {~ <br /> <br />P?ojected ~wage Flow;(~ gal/day <br />Water Supply: ~ f - <br />l~$u~nce D~te: ~ ~-~ <br />Expiration Dale: ~ <br />IMPORTANS; Keep 1bis do.mere with your re~o~s. Show <br />this permil to the se~ic system insl~ller prior to installation <br />of the system Any deletion from the approved <br />have prior approval 1rom this office, <br />TH iS PERMIT iS NOT T~~ <br />Signature: <br /> <br />SYSTEM SPECIFICA liONS; <br />Type of System; <br />Septic Tank Capacity: [ ~)_..~ga[. min. <br />Lineal Feet Disposal F[el~jd; <br />Distribution: <br />D~ap~sal Trench Depth: <br />Filter Materi~l Oepth: <br />Minimum Soil Backfill: <br />Cudain Drain Required?' ( ) Ye~; (~) Ne <br />Special Requ rements: <br /> <br />Site Number; <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br /> <br />