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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. ne s~ system must be ~sta#ed as shown above and must be ~ected p~r ~ ~ve~ <br />2. A# d~osal trenches sha# be ~sta~d so as ~ ~w me na~l con.ur of the g~un~ <br />3. If there are quest~ns concem~g tho layout of the syste~ please ca# our office p~r ~ const~ct~n of the ~stem. <br /> <br />Legal Description: <br /> Tax Lot No. ,,~ ~ ..... <br />System ~ll Se~e: <br />Projected Sewage Flow: ~. ~ ~%~ gal/day <br />Water Supply: ~. . <br />Issuance Date: <br />Exp raton Date: <br />(Request for renewal of this permit must be made ~ 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~e approved plan must have prior <br /> <br />REV, 11/92 <br /> <br />Type of System: ~ <br />Septic Tank Capacity: ~ ~ ~ O gal, min. <br />Lineal Feet Dispo~l Reid:- <br />Distribution: ~ ,~' <br />DisposalTrench Depth: ,,,,,,,~¢~ <br />Filter Material Depth: ~ <br />Minimum ~il Backfill: <br />Cu~ain Drain: ( )Ye's;~ ( <br />S~ecial Requ~e~en~ ~~ <br /> <br /> Site Number: ¢~ - <br /> Permit Number:' <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />