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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 />1. Tt)e septic system must be instal/ed 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 are questions concerning the layout of the system, please call our office prior to conatruction of the system. <br /> <br />Name: ,~'T-O bt/,5 <br />Address; t,3..~. I 5 <br />Legal Description: T <br /> <br />System Will Serve: ~=t D~. <br />Projected Sewage Flow: q ~ gal/day <br />Water Supply: <br />Issuance Date: <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 sy~em installer prior to installation of the <br />system. Any deviatioCfr~(he appr~d pla~ must have prior <br /> <br />Signature ~k~ ~ ~/(J~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ,.~Tt~Ob <br />Septic Tank Capacity: <br /> <br />gal. min. <br /> <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 /> <br />SRecial Requirements: <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 />