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MARION COUNTY <br />COMMUNITY 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 />!~.~,~.'~.........~/.!?...:. ! ~o'..... i <br />: .... . i . ~ . . i ....!..I=, ...,,.....~ ................. ~..~_,~.~.......~.~,~ ~... <br />........................... .... · ~'"' ......... ~ '! ~"' '~'" ........................ ..... <br />~ ~ ~ ~ ~. ~ ...? I [ ~ ~ ~:~Z_ ~ ..... Z~ L_~ ............. ........~ .......... ~.Z.....: ..... <br />~.~ · : · ,. . , · · <br />~ ~ ~' :" f'" "'"~""T' '" ......... 7'" 7 "'""? '=-' "~ ......... '""" '"'"~ '"'""~ ........ :" '"', ........ <br />· . ~ ~ '~ ~ ................................... ~ ........................... ~,,.,,,,,,,,.~ .............................. ~ ........................................... ~ ......................................... ~ .............................................................. <br /> :[[:~ .I 1 ' ~ ............ : ' ............... ~ ~ ,'~[ ............ J .................. , L., ,,,,; .......................... ~_.' ~ .... <br /> ~,-~,,= ............................ . ......... . ............ :. <br /> 7' ~ ....... ~ ~~* ................ ......... <br /> <br />1_ The Septic ~. above and must be inspected prior to cover. <br />2, All disposal trencile$ shall be installed so as to fo/iow 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 /> <br />Address: /~',o/'.,,~ /~/,~,5'C-~L. C"¢gE~-- ~,~¢ <br />Legal D~oription: 'T ~A R ~ S [% <br />Syst~ Will Se~e: ~ D~ <br />Projected ~wage Fbw: q ~ gal/day <br />Water Supply: ~t~ 0~ ~ <br />Issuan~ Date: ~~ <br />Expiration Date: ~ <br />(Request for renewal of this pe~it m~t be made er/or to the <br />expiration date.) <br />IMPORTANT: K~p this d~ent ~th ~r r~ds, S~w this <br />permi~ t0 the septic~st~ i~tallmprior to ins~llatlon of the <br />system. Any devia¢~rm t~a~¢v¢ ~n must have prior <br /> <br />Signature ~ ~ ~ I~ ¢] ~ <br /> <br />SYSTEM SP E OI FI CATI 0 NS :,.~..~ <br />Type of System: <br />Septic Tank Capacity: . <br />Lineal Feet Disposal Field: --~ <br />Distribution: <br />Disposal Trench Depth; ~ <br />Filter Material Depth: <br />Minimum Soll Backfill: ,~ ~:',,,,'~ <br />Curtain Drain: ( ) Yes; (~ No <br />Special Requirerneflts: <br /> <br />gal, rain <br /> <br />MC ~5-S7 <br /> <br /> Site Number: ~'--'.'.'.'.'.'.'.'.~- ~------------------~7~'~ <br /> Permit Number: --%"~ ~--5-4¢ <br />THIS PERMIT IS NOT 'TP, ANSFERABLE <br /> <br /> <br />