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MARION COUNTY COMMUNITY DEVELOPMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE - 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 shaft be instal/od ac as to follow the natural contour of the ground. <br />3./f there are questions concerning the layout of the system, p/ease call our office prior to construction of the system. <br /> <br />Legal Oescription: T ~'~' R <br /> <br />Projected Sewage Flow: ~ gal/day <br />Water Supply: <br /> <br />Expiration Date: <br />(Request for renewal of thi'~ ~ermit~ust be made prior to <br />the expiration date.) <br /> <br />Site#: <br />Signatur~ <br /> <br />SYSTEM SPECIFICATIONS; <br />Type of System: ~ 4~'-1' 41¢¢ '~.¢'~ 4~¢~'~' <br />Septic Tank Capacity: ,/~ gal. min, <br />Lineal Feet Disposal Field:. ,, ~ <br />Di~ribution: ~~ <br />Disposal Trench Depth: ~ ~ (~}~/~ ~ <br />Filter Material Depth: / ~ Y <br />Minimum Soil Backfill: / ~ ~ <br />Cu~ain Drain: (~ Yes;~ ( ) No <br />Special Requirements: ~'~ ~ ~*~' /~ <br /> <br />IMPORTANT!- THIS PERMIT IS NOT TRANSFERABLE <br /> Keep this document with your records. Show this permit to the septic system installer prior to installation <br /> of the system. Any deviation from the approved plan must have prior approval from this office. <br /> <br />MC 1S-S7 <br />REV 1/94 <br /> <br /> <br />