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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 />mILE <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> 1. The septic systom must bo installed as shown above and must be inspectod 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, please call our office prior to construction of the system. <br /> <br />Name: s ~'~""~¢¢ ¢ //~C-r-,G- ¢¢/.z r/~/~ ..... <br />Address: ~ ~ ~, ~ ~ ~. ~ <br />LegalDescription; T ~s R /%/ s~¢ <br /> Tax Lot No, _~ <br />System Will Se~e: ~¢/~¢ ~/~ <br />Projected Sewage Fi~w: '~¢¢ gal/day <br />Water Supp y ~/,/ <br />Issuance Date: /~[,~/G~ <br />Expiration Date: ' / / ~/~/~ <br />IMPORTANT: Keep this document wit~ 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 /> THIS PERMIT IS NOT TRA~S.F%~LE <br /> ' - <br /> <br />MC 15-57 Rev, 1/§1 <br /> <br />SYSTEM SPEC1FICATIO~S: <br />.Type of System: ¢¢~¢.~¢~¢'~'~'¢ <br />Septic Tank Capacity: <br />Lineal Feet Di~,~posal Field:,~ <br />Distribution: ~ ,"~-~" <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: ....... <br />Curtain Drain Required: ( ) Yes; ( ) No <br />Special R equi re me nt s: _~..~ ~¢ ~.¢-~;,t..~ <br /> <br />Site Number: G <br />PermIt.Number: z/'~ <br /> .... <br /> <br /> <br />