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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />2~'0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: $88-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />1, Tt~e septic system must be installed as shown above and must be inspected prior to cover. <br />2. All d/sposal 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 />Address..~'~ q. ~, <br />Legal Descri~ion: T ~ S ..... R ~ S /~ ....... <br /> Tax Lot No. <br />System Will Serve: <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 odor 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 deviatio~ approved pl~ust have prior <br />approval from this 0~_ <br />Signature <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: <br /> <br />gal. min. <br /> <br />Lineal Feet Disposal Field: <br />Dietribution: <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes; <br />Special Requirements: <br /> <br />( )No <br /> <br /> Site Number: <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 15'S7 <br />REV, 11/92 <br /> <br /> <br />