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MARION COUNTY <br />COMMUNI'f'? 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 so as to follow the natural contour of the ground. <br />3. I If them are questions concerning the layout of the system, please call our office prior to constn~ctton of the system. <br /> <br />Legal Description: ~T <br /> i Tax Lot No. ~ ~",g/ ,-,~'-~ <br />System Will Serve: <br />Projected Sewage Flow: ,¢/,'¢'4~ gal/day <br />Water Supply: /4,/,,,¢~_~ . <br />Issuance Date: <br />Expiration Date: /I/.~'/~ <br />(Request for renewal of Chis'permit must be made odor 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 from the approved plan must have prior <br />approval from ¢J;~s offi.,ce/f <br />Signature ~'~ ~'/¢2~t'4.,/-~'~.,./ <br /> <br />SYSTEM SPECIFICATIO]qS: ,, <br />Type of System: ,,~¢~'~.. <br />Septic Tank Capacity: /~'-~.,~¢ gal min. <br />Lineal Feet Dis~ld_,;¢, ~'~'¢ <br />Distribution: <br />Disposal Trench Depth: ~__~4' <br />Filter Material Depth: ,/ <br />Minimum Soil Backfill: / <br />Curtain Drain: (/~ Yes; ~, ~(,) NO <br />Special 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 />