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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 />f <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 follow the natural contour of the ground. <br />$. If there are questions concerning the layout of the system, p/ease call our office prior to construction of the system, <br /> <br /> Name: '~¢,~ .-EF~ ~R.Ttt,% ~g~a.) <br /> <br />Address: I O~-~{ <br />Legal Description: T <br /> Tax Lot No. <br />System Will Se~e: <br />Projected Sewage Flow: ~ ~ gal/day <br />Water Supply: <br />Issuance Date: <br />Expiration Date: <br />(Request for renewal of this permit must be made ~ the <br />expiration date.) <br />IMPORTANT: Keep this document with your records. Show this <br />permit to the septi~ystem installer ~rior to installation of the <br />system. Any devioti¢~m theoa~roved pl~ must have prior <br /> <br />Signature ~ ~ ~/ <br /> <br />SYSTEM SPECIFICATIOJ~',' ~ ~L~'¢'~ <br />Type of System: ~'~;L)U~0 A~O <br />Septic Tank Capacity: /OC:~) gal. min. <br />Lineal Feet Disposal Field: ~ ''~ ~'~ <br />Distribution: ~%C=¢.l Pr(__ <br />Disposal Trench Depth: <br />Filter Material Depth: /~ <br />Minimum Soil Backfill: / ~L" <br />Curtain Drain: ( ) Yes; ( ,k')' No <br />Special Requirements: %.,9$'rccr_. <br /> <br /> Site Number: ¢'*~- O/~) <br /> Permit Number: r ~7~ q 7 <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 1J5, S7 <br />REV. 11/92 <br /> <br /> <br />