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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />2~-0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />1. The septic system must be installed as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed SO as to follow the nalural contour of the ground. <br />3. if there are questions concerning the layout of the system, please call our off[ce prio/' to construction of the sy,~;t~m, <br /> <br />Address: ) q ~'~-~'- ~'¢~ ~, ~ .... <br />Legal Description: .T ~ R ~ S I ~ , ' <br />Tax Lot NO. <br />System Will Se~e: <br />Projected Sewage ~Z q ~ · ', gal/day <br />Water Supply: <br />Issuance Date: <br />Expiration Date: ~- ~- ~,~ <br />(Raques[ for renewal of this permit must be made Bdo[ to the <br />expiration date.) <br />~MPORTANT: Keep this d~umen~ ~ your re~rds. S~w ~is <br />permit to the septic s~tem installer pr~r to in'St~llation of the <br />system. Any devi~ro~ the ap~ed ~an ~u~ have pri~ <br />approval from ,h,~ <br />Signature ~.. <br /> <br />SYSTEM SPECIFICATIONS:~ <br />Type of System: ~='~ T, <br />Septic Tank Capacity: [ ~ gal. min. <br />Lineal Feet Disposal Field: <br />Dl~tdbution: /-.~© ~ <br />Disposal Trench Depth: <br />Filter Materiel Depth: ./u ~,).--~ <br />Minimum SOil Backfill: ~ ~ .... <br />Curtain Drain: ( ) Ye~; (~) No <br />Special Requirements: <br /> <br /> Site Number: <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />