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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. All disposal trenches shall be installed so as to fellow the natural contour of the ground. <br />3, If tt~ere are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Name: /¢/.../~----~,~,-~'~¢¢. ., I SYSTEMSPECIFIC,~T~NS:,~ <br />Address: //, '~,¢,.-~¢',,'¢'*~?-,/¢/.~/~¢.~,, ~, ~~ ~ Type of System: <br />Legal Description: .~ ~ R ~ S ~ .~ Septic Tank Capacity: /~ gal. min. <br /> <br />SystemWill Serve: ~; ~ ~ ' <br />Projected Sewage Flow: ¢~ gal/day <br /> <br />Water Supply: <br />Issuance Date: ~/i~ <br />Expiration Date: <br />(Request for renewal of this permit must be made odor to the <br />expiration date,) <br /> <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 />approval from t~ office./c) , <br />Signature ~'~ <br /> <br />Lineal Feet Dispgsal Reld:,~. <br />Distribution: .'.'.'.'~-,4.~¢' <br />Disposal Trench Depth: '2--¢ <br />Filter Material Depth: /~. <br />Minimum Soil Backfill: ,/ <br />Curtain Drain: (/~) Yes; <br />SpeciaI. Requir. err)ents: ¢~-¢,,4-.¢~,u~,~: ~ ~:~ <br /> <br /> Site Number: ~_~ ~-~ <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 18-S? <br />REV, 11~J2 <br /> <br /> <br />