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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHON E: 588-5147 <br /> <br /> CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> 'T ' '" ~ .............. ?-""'".'"" ':'" ! '" "T '""'"'" i""-" '''~ ' i ' : ............... i i : . ~ "'i'"'"'"" ': ........... ' ' <br /> <br /> ...... t.. ~ ....... ~"' '" :" · ' :.' '"' ''''~ ................................. ~ ......................... ~ ...... ~" '" "~'"' '"'~ ~ ' '"' ..................... ~ .... <br /> <br />1. ~e septic syatem must ~ in,ailed aa s~wn a~ve and ~st ~ in~eeted ~or to cover. <br />2. All dis~sal trenches shaE ~ instali~ so as to follow the na~ral ~ntour of the g~u~. <br />G. If t~ere are questions ~emlng the la, ut of the system, please ~1t our office pr~r ~ ~t~n of the system. <br /> <br />Legal Description: T <br /> <br />System Will Serve: <br />Projected Sewage Flow; f¢~%-'~ gal/day <br />Water Supply: <br />Issuance Date: '~- ~"~ ."'~ <br />Expiration Date; <br />(Request for renewal of this permit must be made orior ~ the <br />expiration date.) <br />IMPORTANT: Keep this document with your records. Showthis <br />permit to the sep. tlCz.~stem installe~, prior to installation of the <br />system. Any d~¢0¢ f~ ~ ~v~l~ m~t hav~ pr~ <br />approval from thi~i~iidle//. '~].¢//~ ' <br />Signature ~,._.¢,~,.,-~ v (~,Y"-'~ <br /> <br />SeptiC. Tank Capacity; ~:~l.~ ~7~& gal. min. <br />Lineal Feet Disposal Field: :2~;'-~ <br />Distribution: ..~'t;'~..I Pr(_. _ <br /> <br />Disposal Treneh Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes; <br />Special Requirements: <br /> <br /> Site NUmber: <br /> Permit Nomber: <br /> <br />(~)No <br /> <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />