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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 pricr 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: ..'-~-,,4-~ ~3-' <br />Address: .~'~ f-7 ~ <br />Legal Description: T <br /> Tax Lot No. <br />System Will Serve: ~,~X <br />Pro)acted Sewage.Flow: ~--~ gal/day <br />Water Supply: ~X¢~ <br /> <br />(Request for renewal of this permit must be'made Drior to the <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 th~ approved plan must have prior <br />approval from ~ffice¢ <br />Signature ~~/ <br /> <br />MO 1~87 <br />REV. 11~2 <br /> <br />SY,$T_,EM SPECIFICATdONS: ' ~ / <br /> <br />Septic Tank Capacity: /~'~'~ :'~ /.'~"-,~¢_.. gal. min. <br />Lineal Feet Disposal Field: <br />Distribution: <br /> // <br />Disposal Trench Depth: <br />Filter Material Depth: <br /> / <br />Minimum Soil Backfill: <br />Curtain Drain: ( <br />Special <br /> <br /> Site Number: ~.'~..,.'~,~ <br /> Permit Number: <br />THiS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />