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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 instal/ed as shown above and must be inspected prior to cover. <br />2. All 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, p/ease call our office prior to construction of the system. <br /> <br />Address: L ~ '~ ~, ~' '"5,//,,..¢5/~'//5./'/~- ~. ~~Type of System: <br />Legal Desc'ription:~T.~ Rt~/g ~ <~ Sept c Tank Capacity: <br />Tax Lot NO. ~¢f ~&¢~ ~//%~%~7~[ Lineal Feet Dtsppsal <br />Syst~Wi Se~e: (~,~,~¢~ 7~/~ { Distribution' <br />Projected Sewage Flew:..~ ~ ' ~al/day ' Disposal Trench ~epth: <br />Water Supply: ~ -- F tar Mater al Depth <br />Issuance Date: ~ /~/~/~ ~ <br />Expiration Date: ~ <br />(Request for renewal of (his permit must be made Drier to t~e <br /> <br />expiration date.) <br />IMPORTANT: Keep this document with your records. Show this <br />permit to the septic system installer prior to installation of the <br />system. Any deviation from the approved plan must have prior <br /> <br />Signa!ure v~c'Y,%L'~¢ . ~ ~ ~ /""""~'~ ~ <br /> <br />gal. min.; <br /> <br />Minimum Soil Backfill: , ,/ <br />Curtain Drain: ( )Yes;/,') ' ( )NO <br />Speci, pl Reguirements: <br /> /. <br /> <br /> Site Number: <br /> Permit Number: ' <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 15-S7 <br />REV. 11/92 <br /> <br /> <br />