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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br /> <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br />3NSTRUCTI )N,, pERMIT TO INk,cALL A SE : TIC SYSTEI <br /> <br />1. The septic system must be installed as shown above and must be inspected prior to cover. <br />2. All d/spcsal trenches shall be instal/ed so as to follow the natural contour of the ground. <br />3. ff tt~ere are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Address: /.CA '5/.,~J¢"-~/_.¢~¢~..~ <br />Legal Descn~t,'on: ~ ~ .~ ~ ' S ,,,~ <br />Tax Lot No, ,,,,,~, ~ ~¢~ ...... <br />System Will Serve: <br />Projected Sewage FIo~: ~- ~ ~ /~ gal/day <br />Water Supply' <br />Issuance Date: <br />Expiration Date: <br />(Request for renewal of this permit must be made ~ the <br />expiration date.) <br />IMPORTANT: Keep this document with your records. Show thie <br />permit to the septic system installer prior to installation of the <br />system. Any deviation fro~the approved plan must have prior <br /> <br />SYSTEM SPECIFICA~T<~O~? _ <br />Sept c Tank Capacity: ~/~'z::~'~'¢ ¢ gal. min <br />Lineal Feet Disposal_ Field: ~ <br /> <br />Disposal Trench Depth: 'Z.~ <br />Filter Material Depth: /Z- '/ / <br />Minimum Soil Backfill: /,~ <br />CudainDrain: ( )Yes; . ( ) No ,, <br /> <br /> ' $ te Number: ~'~z¢,¢¢¢'¢',.3' ' <br /> Permit Number: ~-~-/~' <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />REV. 11/'92 <br /> <br /> <br />