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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 syatem must be installed as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed so aa 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: /~'5-' ,,~. <br />Legal Description: T <br /> Tax Lot No. <br />SystemWitl Se~e: ~F~ <br />Projected Sewage Flow: ~¢ , . gal/day <br />Water Supply: <br />issuance Date: '~ '~ ~ ~ / <br /> <br />(Request for renewal of this permit~ust ~e made prior te the <br />expiration date.) <br />IMPORTANT: Keep this document with your records. Show this <br />permit to the septic system installer prior to installation of the <br />system. Any deviation from ~e approved plan must have prior <br />~,~ov~, ~off,¢/; ." . _ ' ¢. ~.' <br /> <br />MC 1~S7 <br />REV. 11~2 <br /> <br />SYSTEM SPECIFICA~rLO~S: <br />Type of System: <br />,.~Sept~c Tank Capacity: ?'~'~'~ , ~ gal. mid. <br />~ Lineal Feet Dispo~.al Field: <br />Distribution: /'~.~.¢¢~ ,, . ~ , <br />Disposal Trench-Depth <br />Filter Material Depth: <br /> Minimum Soil Backfill: /~. <br /> Curtain Drain: ( )Yes;.,.? (~ I)t'o <br /> Spe~cial Reguj~me.n~: <br /> <br /> rsite Number: ' <br /> Permit Number: ~,?~L/ <br /> THIS PERMIT iS NOT TRANSFERABLE <br /> <br /> <br />