Laserfiche WebLink
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 d/sposal 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 />Name: .._,~tv~.~ r-~ ~ <br />Address: l~(~.p ~J-'~C~JI~..~ ~, ~ <br />Legal Description: T ~ R (~ S ~ <br /> Tax Lot No ~g~ ~ ~ <br />System Will Se~e: ~1~ ~~ <br /> <br />Water Supply: <br />Issuance Date: ~-A ~ <br />Expiration Date: ~- ~'""~ <br />(Request for renewal of this permit must be made prior to the <br />expiration date.) <br />IMPORTANT: Keep this documen[ with your records. Show this <br />permit to the septic system installer prior to installation of the <br />system. Any deviati~r~m ~he approved plan must have prior <br />approval from this ~¢~') ~ ~ ~ <br />Signature [~.~ ~)~ <br /> <br />SYSTEM SPECIFICATION~S: <br />Type of System: <br />Septic Tank Capacity: /ooo gal. rain, <br />Lineal Feet Disposal Field: ~ ..~.~.~.~.~.~.~' ' <br />Distribution: <br />Disposal Trench Depth: /~'%~/~/..2q? ~ ~_~ <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes; (~4.) No <br />Special Requirements: <br /> <br /> site Number: <br /> Permit Number: ~ ~ %'-7, I <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />REV. 11/92 <br /> <br /> <br />