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MARION COUNTY 00~MUNITY DEVELOPMENT <br /> BUILDING IN$1~ECTION DIVISION <br />·. 220 HIGH SI'REEl- NE ~ SALEM, OREGON 97301 <br /> PHON~ 588-5147 <br />CONSTRUCTION PERMIT INSTALL A SEPTIC SYSTEM <br /> <br /> 3. The sep~c syslem must be installed as shown above and ~ <br /> 2. Afl disposal trenohes shall be installed so es to follow ~he ~ <br /> $. If there are q~eatior~ concerning ~e layout of ~he system,,. <br /> Name: ~'¢,~)-~- _--~.~ ~1~5~,_ ~ · <br /> <br /> Tax Lot No.' - _ ~ . <br /> System WilJ Sei've; <br /> Proje~d Sewage FlOw: ~,~) ...... gal/day <br /> Water Supply: ~----,.~ e ~-- ~..~.~ <br /> <br /> (Reque~ for renew~ ¢~is ~rmlt must be ~ade o~r'~ <br /> the expiration date..) <br /> <br />iMPORTANT[ ~ THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> prior to cover. <br />atura~ cor~our of ~e ground. <br /> ~ease call our office prior to construction of the system. <br /> <br /> Type of SYStem: ~-~ <br /> Septic Tanl~ Capacity: ...... ~(~ ~,~ gal. <br /> <br /> IJneal Feet Disposal Field: ..~_~ ~'. <br /> Distrib~on; <br /> Disposal Trench Depth: _ <br /> Filter Material Depth: <br /> Minimum Soil Backfill: <br /> C~rtain Drain: ( ) Yes; ( ,~ No <br /> Special Requirements: _ <br /> <br />Keep this Oocumant with your records. Show this permit to the septic syste~ instaJler prior to installation <br />of the system. Any deviation/rom the approved plan must have prior approval from ~1i$ office. <br /> <br />MC 15,~7 <br />REV 1/94 <br /> <br /> <br />