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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 installeri 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 /> <br />3. If them am questions concerning the layout of the system, <br /> <br />Name: ('~_(.Jar~ ~l~"'l'~ <br />Address: I~'~)~ ~1~.~,~ t~3G1' ~: ~ <br />LegalDescdption: T ~ R_ (~ S (~ <br /> T~ Lot No. ~ 0~- ~ <br />System Will Se~e: ~0~ <br />Projected Sewage Flow: ~O gal/day <br />WaterSupp~y: ~l~ ~ ~ <br />Issuance Date: t- /~ ~ <br />Expiration Date: I - I~ - ~ <br />(Request for renewal of this permit must be made prior to <br />the expiration dater) <br /> <br />Signature: ~~ <br /> <br />~lease call our office prior to construction of the system. <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ,~'-/~-~,j/3 ~ <br />Septic Tank Capacity: /'~;~E30 <br />Lineal Feet Disposal Field: ..~")..~ <br />Distribution: ~ <br /> <br />gal. min. <br /> <br />Disposal Trench Depth: <br /> <br />Filter Material Depth: <br /> <br />Minimum Soil Backfill: / <br />Curtain Drain: ( ) Yes; (,X,) 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 15-S7 <br />REV 1/94, <br /> <br /> <br />