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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 an~ 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. If there are questions concerning the layout of the system, please call our office prior to construction of the system. <br />Name: ~,~/4~.-~ ~z~ SYSTEM SPECIFICATIONS: <br /> <br /> Address: <br /> Legal Description: T ,~ R ~"~: S O/¢.~ <br /> Tax Lot No. , ~Tzo~ <br />System Will Serve: ~, ~ ~/,/~ ~ <br />Proje~ed Sewage Flow: ~¢~ ? gal/day <br />w~t~ Supply: ~ ~,/~ ¢~/~9 <br /> <br />(Request for renewal of this~er~t must be made ~ <br />the expiration date.) <br /> <br />Septic Tank Capacity: /~,~ gal. min. <br /> <br />Lineal Feet Disposal Field: <br />Distribution: <~-,/---,/~ ~¢¢ <br />Disposa~ Trench Depth: ~ ~ '¢ ~,~ ~/~ ~,~, <br />Filter Material Depth: ~ ~ <br />Minimum Soil Bac~ill: / ~ <br />Cu~ainDrain: ( )Yes; ( ) No <br />Special Requiremeets: ~~ <br /> <br />IMPORTANT!- THIS PERMIT IS NOT TRANSFERABLE <br /> Keep this document with your records, Show this permit to ~he 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 />