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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 /> I Thesepticsystemmustbeinstalledasshownaboveandmustbeinspectedpriertocover. <br />2 All disposal trenches shall be instafled so as to follow the natural contour of the ground. <br />3 If there are queetions concerning the layout of the system, please call our office pnor to construction of the system <br /> <br />Name:: ~ f~l~,A- (~-~©O L 2 E'/' <br />Address:: ~%f,c,:i %~o~y ~& ~ <br />Legal Description: T ~ R ~ S I~ <br />Tax Lot No,, <br />System Will Se~e: ~&~( ~ <br />Projected Sewage Flow: q %1~ gal/day <br />Water Supply: U}~ <br /> <br />Issuance Date:: ~,~ <br />Expiration Date:: L/ - <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 app~ved plan must <br />have prior approval lrom this office <br />THIS PERMIT iS N~T/TRA.SF~B~E <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System:: <br />Septic Tank Capacity: ~,~-. ~-5'r ~G gal rnin <br />Lineal Feet Disposal Field~_ <br />Distribution:: <br />Disposal Trench Depth:: ~d '~ -± <br />Filter Material Depth:: <br />Minimum Soil Backfill: (~.~ <br />Cudain Drain Required::D ( ) Yes_,;_ (,,~') No <br />Special Requirements:: U v~, <br /> <br />Site Number: <br />Permit Number; <br /> <br />Registered San tar an <br /> <br /> <br />