|
MARION COUNTY'
<br />COMMUNI'r'? 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 /> .... i ..... i. : : i i . i..[.......X.........,.:.....-...L...........~..........- ................................................ :.........:.......,L,.,,,,. L ::. i ...:,
<br />
<br /> ....... i ............................ ~ ~P/LE~,~gE~ ~v~,~--+~i~--~ :-~.~.~*~.~"&~-L -~- ~ ~ ~: ~--~ .*~-~;~ .........;.,, .,,,, .,,~ ........
<br />
<br /> : : -:' '""*~t'~'~'""'"~'"'t *~ ................. i .................. i .............................. ~..'.-.............. *-....... i...~ ....... :..
<br />
<br /> ............. ! ._. _.d..._ _...~.... _...,,_._..._ ~.,_,,_,~.,,,.,,,..,..,,~,,,,.,~.,,,~,,_. ~ ................ ;.._. _...~._.........~ ._ ,,,,,~.....,,,.,,,~ .......................... ,. ................. . ............... ~ .....
<br />
<br />f . The septic SYStem must be inStal/ed as shown above and must be Inspected prior to cover_
<br />2. All disposal trenches shall be installeE so as to follow the natural contour of the ground.
<br />3, ff there are questions concemll~g the layout of the system, please Call our office prior fo construction of the system.
<br />
<br />Address: /.~A~ /Y)#,EJ~.V ~u~" X)~G" .
<br />Legal~script~: T ~ ~' /~--S,, ~/
<br /> m~ ~ No.. ~O* ~
<br />System ~11 ~e~ ~ gaVday
<br />P~j~ Sewag,
<br />
<br />I~ua~e Date: , ,
<br />~pirati~ Date: ~ - ~2 ~ ¢ ....
<br />(R~t for r~al of ~iS p~it m~t be made ~ ~
<br />expiration date,)
<br />IMPORTS: Keep this ~t ~th your r~ords. $~wthis
<br />~e~it to t~ sepUc s~t~ i~taller p~ to i~Uati~ of ~
<br />~yst~, Any de~atio~the tp~ed ~n m~t have prior
<br />app~val fr~ this o~p/2 ~/A.~
<br />Signature ~ ~ ~
<br />
<br />SYSTEM SPECIFICATIONSj.'
<br />Type of System:
<br />Septic Tank Capacity: / ~J~ gal. rain,
<br />Lineal F.eet Disposal Field:
<br />Distributmn: ~
<br />Disposal Trench Depth; /,~
<br />Filter Material Depth:
<br />Minimum Soil Backfill; ~z~
<br />Curtain Drain: ( ) Yes; (X) NO
<br />Special Requirements: ~,~y
<br />
<br /> .........
<br /> Site Number:
<br /> Permit Number: qq"7 7
<br />
<br />THIS PERMIT IS NOT TRANSFERABLE
<br />
<br />MC
<br />REV, 11/92
<br />
<br />
<br />
|