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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 above and must be inspected priorto cover. <br />2. All disposal trenches shaft be installed so as to follow the natural contour of the ground. <br />3. If there are queetions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Name: '~{..~ <br />Address: / V~'~f.~ <br />Legal Description: T <br /> T~ Lot No. <br />System Will Se~e: <br />Projected Sewage Flow: q ~ gal/day <br />Water Supply: <br />Issuance Date: <br />Expiration Date: <br />(Request for renewal of this pe~it must be made Drier to the <br />expiration date.) <br />IMPORTANT: Keep this document with your records. Show this <br />permit to the septic~stem installerDrior to installation of the <br />system. Any deviaCn)ro¢ t~¢~rCved ~n must have prior <br /> <br />Signature ~ <br /> <br />SYSTEM SP ECl FICATI O NS:,~i.7~ <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: ~-.~P <br /> <br />Disposal Trench Depth: / ~'~ gQ, <br />Filter Material Depth: /&-'-'-'-'-'-'-'-'-~-" <br />Minimum Soil Backfill: ~ *' <br />Cudain Drain: ( ) Yes; (~ No <br />Special Requirements: <br /> <br />gal. min. <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 />