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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. Ail 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: .._~_¢6,~3 <br />Address: { ~1,~ <br />Legal Description: T <br />Tax Lot No. ~/..~'0-~/0 <br />System Will Serve: ....... <br />Projected Sewage Flow: L/,.%"~5 gal/day <br />Water Supply: <br />Issuance Date: I <br />Expiration Date: .............. <br />(Request for renewal of this permit must be made prior 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 deviation f/'~n ~he al~pro~v~[d plar~ust have prior <br />approval from this offi~. ~)_ ~, ~//..~,~ .(:~'--'-~- <br />Signature ~ ~ ~' f..,I''-''~ -- <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ~ T~,'..) <br />Septic Tank Capacity: ~---x'~ ~ Tt/OG gal. min. <br />Lineal Feet Disposal Field: <br />Distribution: '-5 L-'~/'2. t <br />Disposal Trench Depth: ~_L/ <br />Filter Material Depth: / ~- <br />Minimum Soil Backfill: / `"%." <br />Curtain Drain: ( ) Yes; f~L~) No <br />Special Requirements: Y'O <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 />