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MARIOf¢ 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. Al/d/sposel trenches shall be installed $o es to follow the natural contour of the ground, <br />3. If there are questions concerning the layout of the system, please call our office prior to construction of the System. <br /> <br />Address: <br />Legat Description: T <br />Tax LOt No. <br />System Will Serve: ~c-/-'~,j ~ F-C'/A~ .... <br />Projected Sewage Now: ~'. ,~¢f gal/day <br />Water Supply: <br />Issuance Date: 5//~ ~'.//~¢ ~ ,/ , <br />Expiration Date:~ / / 4/'~ ~/e/./' , <br />(Request for renewal of this permit n~ust be'made Erier t~ the <br />expiration date,) <br />IMPORTANT: Keep this document with your records. Show this <br />permit to the septic system installer prior to installation of the <br />system, Any deviation from th~pproved ptan must have prier <br />approval from~t~ office,~/ <br />Signature ¢~-.~-E ,..--'~.~2 ¢2 ./ <br /> <br />SYSTEM SPECIFICA~._TIj~.NS: <br />Type of System: _";~?/f..'"~-, 4 <br />Septic Tank Capacity: /.'~.~ gal, min. <br />Lineal Feet Disposal Field: <br />Distribution: I¢~..t.~--t..../,¢~',' <br />Disposal Trench"Depth: 2 ¢' ~-~ /$~ <br />Filter Material Depth: / ~ ~'l <br />Minimum Soil Backfill: ? <br />Curtain Drain: ( )Yes; (~,)No <br />Special Requirements: <br /> <br /> Site Number: ,~ ~.~ .~,x~ <br /> Permit Number: .... ,~, ~,A c~ J <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 15.$7 <br />REV. 11/92 <br /> <br /> <br />