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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. The septic system must be installed as shown above and must be inspected prior to cover. <br />2, All disposal trenches shall be installed $o as to follow the natural contour of the ground. <br />3. If there are questions concerning the layout of the system, please call cur office prior to construction of the system. <br /> <br />Address: '~?~ <br />L~gal Descri~ion:- ~ <br />: Tax Lot No. <br />system ~ll Serve: <br />Projected Sewage FI~: _ ~O gal/day <br />Water Supply: /~//i <br />Expiration Date: /~//~ <br />(Request for renewal of this per~it m~t ~e 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 fr~he approved plan must have prior <br />approval ~ off~/ <br /> <br />MC 1~87 <br />REV. 11~2 <br /> <br />~M SPECIFICA'['I(Z',IS: <br /> ystem: ~ <br /> Septic Tank Capac~t"-'y:/ _,/,,¢~¢.~, gal. rain. <br /> Lineal Feet ,Disp~Qsa! ~el~l: <br /> Distribution. ~~'~_ . <br /> Disposal Trench Depth: <br /> Filter Material Depth: <br /> Minimum Soil Backfill: <br /> Curtain Drain: (/.~es;/3 <br /> Special ReCluirements;. /~~ <br /> <br /> Site N, ~mb er.'~/'~ <br /> Permit Number: <br /> THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />