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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 disposal trenches shall be installed 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: J~k~O¥ /l~/~O.S~ ~ <br />Address: ~.O'I~D,'~ $~'ht6 <br />Legal Description: T ~& R ~¢ S 18 <br />Tax Lot No. <br />System Will Sewe: ~t~ <br />Projected Sewage Flow: ~O gal/day <br />Water Supply: ~ ~ <br />issuance Date: ~ ~-//-¢/ <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 />THIS PERMIT IS NO~~- <br />Signature: <br /> <br />SYSTEM SPECIFtCATIONS: <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: <br />Special Requirements: <br /> <br />gal. min. <br /> <br />( )Yes; 0() No <br /> <br />Site Number: <br />Permit Number: <br /> <br />Registered Sanitarian <br /> <br /> <br />