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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 />PLE,,¢SE <br /> <br />IlViTIALS. <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 fellow 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 /> L <br /> <br />· Address /.~"A'~ ~ <br />Legal Description: T ¢,.,/~ ~F~ /¢~' S (! ........... <br />Tax Lot No. <br />System Will Serve: <br />Projected Sewage Flow: ~/~ gal/day <br />Water Supply: qT~J~...~_,~, <br />Issuance Date: <br />Expiration Date: <br />(Request for renewal of this permit must be made erior 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 deviatiorff'~,m, the ~pJ~c~ved I~an must have prior <br />approval from th,s oili~./2 <br />Signature I]k..~ I I <br /> <br />MC 16-$7 <br />REV, 11/92 <br /> <br />SYSTEM SPECIFICATIONSj <br />Type of System: <br />Septic Tank Capacity: { ~ gal. rain <br />Lineal Feet Disposal Field. <br />Distribution: ~ <br />Disposal Trench Depth: /,'~ <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes; (,~) No <br />Special Requirements: ~,~.Y ~:"- 5~'~.~. <br /> <br /> site Number: ~0 <br />Permit Number: ~'~..7 ~ <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />