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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 /> I. 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 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 />iName: ¢,'~.f~ ~ ¢~'~-~,/..,.-x ,4~¢,,% <br /> Addres¢: ~ ~O ~¢~ ~¢~ ~, <br /> Lega~Description: T /~ R ~, S~ <br /> Tax Lot No, <br /> System Will Serve: ~¢~. ~ f~,~, ,, <br /> Projected Sewage Flow: ' ~ ~¢ gal/day <br /> Water Supply: ~/~. <br /> ~suance Date: ~/~/m ~ / <br /> Expiration Date: ~ ~/~/~ ~ <br /> IMPORTANT: Keep this document with your records, Show <br /> this permit to the septi6 system installer prior to installation <br /> of the system. Any deviation from the app~ved plan must <br /> have prior approval from this office. <br /> <br /> THIS PERMIT IS NOT TR~SFERABLE <br /> Signature: ~! .~,/~_,~,t.~,/'" <br />MC 15-57 Rev. 1/91 <br /> <br />SYSTEM SPECIFIC/.'~TIONS: <br />Type of System: c;;;~/2E¢.~¢ '7"-~,,:~' _.~._ ......... <br />Septic Tank Capacity: ,j~'~C,-z:2 ........ gal. min. <br />Lineal Feet Dis~sal Find: //~ / ~ ~ ~ <br />Distribution; D~/~ <br />Disposal Trench Depth: ~ ~ ~/¢~,~,,~ <br />Filter Material Depth: ~" ~/~ ~-~-~ <br />Minimum Soil Backfill; / ¢ ~ / <br />Cudain Drain Required:~ ) Ye% ~) No~ ~ <br />Special ,eq~ements: r~ ~*~ <br /> <br /> Site Numbe~,~ ~-/~ ' 7.,~./' <br /> <br /> <br />