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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 /> I. ?'he 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 />3, If there ate questions concerning the layout of the system, please cell our office prior to construction of the system. <br /> <br />Address:/~t-¢ l~t~,lt,~/,~ <br />Legal Description T <br />~ax Lot No. ~ , <br />System Will Se~e: <br />Projected Sewa~ FI~w: ~ .. ~,r, ; gat/day <br />Water Supply: ~ <br />Issuance Date: <br />Expiration Date: <br />(Request f~ renewal of this p~m~t'~us[ be m~de pri~ [0 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 fr~ the appr~ed plan must have prior <br />apgroval fro~is ~i¢. <br /> <br />SYSTEM SPECIFICATIONS: . <br /> <br />Septic Tank Capacity: ~t~ /¢¢¢ cai min <br />Lineal Feet DIS~sal Reid: ~ /~g ~ ~x ~, <br /> <br />Disposal Trench D~pth¢ ~ ~ . ,. , <br /> <br />Cu~ainDrain: ( )Yes; ~ _ ¢ )N~ . <br />Special Requirements: ~ ~ ~, . <br /> <br /> Site Number: ~ <br /> Permit Number: ~ <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 15-87 <br />REV, 11/92 <br /> <br /> <br />