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MAR~ON COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 973{:)1 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />1. 7t~e septio system must be installed as shown above and must be Inspected prior to co er, <br />2, All disposal trenches shall be installed so as to follow the natural contour of the §reund, <br />3. if there are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br /> Name: _ ~"~-OIA~5 ~C. [~A.L. SYSTEM SPECIFiCATIOI31S; <br /> Address: t ~_~3~ '~,~f:~'~ '~ ~,~ ,~ k~' Type of System: ...<~T/~b~_.J~ · <br /> Legal Description: T Septic Tank Capacity: { ~:~ gal, m'n,~ <br /> Tax Lot No, Lineal Feet Disposal Field: '.~- <br /> System Will Serve: Dist~bution: <br /> Projected Sewage Flow: u~ ~ gal/day Disposal Trench Depth: <br /> Water Supply: b,5 ~"~J_. Filter Material Depth: <br /> Issuance Date: \ Q - I<~ ~.3 Minimum Soil Backfill: <br /> Expiration Date: ~ ~' ! [, ~'~ Cu~ain Drain: ( ) Yes; ( ) No <br /> (Request fo~ renewal of this permit must be made prior to the Special Requirements: <br /> expiration date.) ~A~,3{3C,'~ E×~T~k,Y~ ~:~'-~ <br /> IMPORTANT: Keep this document with yo~Jr re~3ords. Show this .... ~,,J ~,[~_ vT- ~'~-~--~ED <br /> permit to the septic sy~em instatler prior to installation of the <br /> system. Any deviatiol~'frq~e appr,4~v~d ple,R must have prior Site Number: <br /> epproval ,rom this of~,~ th ~.J/~ Pem'~it Number: <br /> <br /> Signature ?~ ~-~'[~z~_[~'-~ THIS PERMIT iS NOT TRANSFERABLE <br /> <br /> <br />