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MARION COUNTY COMMUNITY DEVELOPMENT <br />BUILDING INSPECTION DIVISION <br />22O HIGH STREET NE ~ SALEM, OREGON 97301 <br />PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />7. The septic system must be installed as shown above and must be inspected p~orto cover. <br />2. Afl disposal trenches shaft be int~ta/lecl $o as to follow the natu~l ¢orrlour of Ele ground. <br />3. If there are questions concerning ~he layout of the system, z/ease Call our offic~ prior to con.~ruction of the system. <br /> <br /> LegaIDescdptton; T q.~ R ~.~ <br /> Tax Lot No. ~ ~) ~"~ ~).. <br /> Sysf;em Will Sen/e: <br /> Projected Sewage Flow: ...... f~ ~'O . gal/day <br /> Water SuppJy: /~-tT~ <br /> Issuance t- ..... <br /> Expiration Date: I ~ ~q - ~ ...... <br /> (Request for rental of this permit must be m~e prior to <br /> the eXRIration da~,),,, <br /> Site ~, ~ ~ <br /> <br />iMPORTANT~ ~ THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> SYSTEM SPECIFICATIONS: <br />Type of System; ,~_.~-j~,-~.~ ,O ~ ... <br />Septic Tank Ca,city: {~ gal. rain. <br />Lineal Feet Disposal Reld:~")..._~ <br />Distribution;., <br /> <br />Filter Material Depth:,, <br />Minimum SoN Bac~ll:, /' ~ '~ ,, <br />Curtain Drain: ( ) Yes; ( ~.} NO <br />Special Requirements: <br /> <br />Keep this document with your records. ~how this permit to the septic system installer prior to installation <br />of the system. Any deviation from ti~e approved plan must have prior approval fi.om this office. <br /> <br />MC t5.S7 <br />REV <br /> <br /> <br />