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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, The septic system must be installed as shown above and must be inspected prior to cover. <br />2./ill disposal 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 />Name: ~r-~,~4/ ~'~,~'*~-'~-/~ ~ ~' I SYSTEM SPECIFICA]-1(TNS: .~ <br />Address: ~J~/ ~ ~ ~ ~Ej ~Type of System: <br />Legal Description: ~ ~ ~~ ~ I Septic Tank Capacity: /~ gal. min. <br />TaxLotNo. ~//~ :5~~ ¢~ I Lineal Feet Dispos~l Field: . <br />System Will Serve: G ~. ~ ~ ~ / Distribution: ~ <br /> <br />Water Supply: ~_ ~ FilterMatedal Depth: <br />I~suance Date: <br />Expiration Date: <br /> <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~the approved plan must have prior <br />approval frorrL~is offj,c(~/. <br />Signature(~:~ <br /> <br />MC 15-S7 <br />REV. 1 <br /> <br />Minimum Soil Backfill: / ~-"~! <br />Curtain Drain: ( ) Yes; .~ (~J No <br />Spe~al Requireme, nts: <br /> <br /> ' Site Number: <br /> Permit Number: <br />THIS PERMIT IS NOT T~NSFERABLE <br /> <br /> <br />