|
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 /> 1. The septic system must be installed as shown above and must be inspected prior to cover.
<br />2. Ail disposal trenches shall be installed so as to follow 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:" 2~0 2'---,~7~" ~,,~J¢' /~./f,L~¢~. ,~-.~,00
<br />Legal Description: ~' R /~ s ~
<br /> Tax Lot No,
<br />System will Serve: ~ "
<br />Projected Sewage Flow: ~ ~ , gal/day
<br />Water Supply: [,~//, ~ ~ ~ ~
<br />Issuance Date: ~ ~/¢ ~ ~
<br />Expiration Date:~ _ ~ ~ / ~ ~
<br />IMPORTANT: Keep this doCument ~it~ your records, Show
<br />this permit to the septic system installer prior to installation
<br />of the system, Any deviation from the approved plan must
<br />have prior approval from this office,
<br />
<br />SYSTEM SPECIFICA. TJ, ONS:/ ,
<br />Type of System: f~Z~-/-,-.,f..4, ,~ ,¢-.'.?, ,,, ~~- ....
<br />Septic Tank Cap~city: ,~¢'z:2 ¢t4,//'~/f~'~7-~)_gal. miq,_,
<br />Lineal Feet Disposal Fie.:
<br />Distribution: ~¢.¢ ~ ./-'_
<br />Disposal Trer'¢~ Depth: ~ ~,1 ~f ~/,~-1 ~
<br />Filter Material Depth: / ~, ~
<br />Minimum Soil Backfill:
<br />Cudain Drain Required: (¢) Yes; ,~ ~) No/
<br />S~ecial R e q u i re n')e nts: _~/,~[,c~L..~?,~,~c~.c-_~_,~cf
<br />
<br />THIS PERMIT IS NOT TRAN,,~FERABLE
<br /> ,~ - / % . . ~ Permit.Number: .
<br />Signature:,~/~-' -/~,! ~~-~- ~'~'-~,~//. ~'~. ~_.Z,'~,,,,,
<br />
<br />Site Number:,
<br />
<br />'40 15-57 Rev, 1~91
<br />
<br />
<br />
|