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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 /> 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 cf the system, please call our office prior to construction of the system. <br /> <br />Address: ~./~'~ Y '~/~, ,~ ~'~,~-~4 ,~¢¢~-J,~ <br />Legal Desc~ipJi~n: T~ R / ~ S ~ <br /> T~x Lot NO, <br /> <br />Projected Sewage Flow; ~ gal/day <br />WaterSupply: ~//, ~ ~ ~ <br />Issuance Date: ~/5 ~ ~ I <br />Expiration Date: ~ / 5'~'/¢ ~ <br />IMPORTANT; Keep th~ document with your records. Show <br />this permit to the septic System installer prior to installstion <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 TRANSFERABLE <br /> ,,, <br /> <br />SYSTEM SPECIFICATIONS: <br />~ of System:~ <br />Septic Tank Capacity: .,, <br />Lineal Feet Disposal Fie[d:~ <br />Distribution: ~ ~ <br />Disposal Trench Depth: <br />Filter Material Depth: ~ <br />Minimum Soil Backfill: <br />Cudain Drain Required: <br />Special ~equirements: (~.~ <br /> <br /> ¢ site Number: ~ <br /> <br />MC 15-57 Rev, 1/91 <br /> <br /> <br />