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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. All 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 />Address; _//~ ~' <br />Legal Descr'ip~[on: <br /> Tax Lot NO. <br />System Will Serve: <br /> <br />Projected Sewage ~Flow: 5f~-,,'"~ gal/day <br />Water Supply: ! ~_,~ ~w~,~ ~ ,~ <br />~ssuance ~ate: ..... : ?~/7/~ ~ -- <br />Expiration Date: / f~/~/¢ ~ <br />(Request for renewal M this permit must be made ~ 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 devia¢on from the approved plan must have prior <br />approval from ~ offic~ <br /> <br />MC 15-S7 <br />REV. 11~2 <br /> <br />SYSTEM SPECIFIC,~,TIJ~NS: / <br />Type of System: ,ff~¢,~ #' <br />Septic Tank Capacity: /~¢~2 gal min, <br />Lineal Feet Dispgsal Field:/,, <br />Distribution: <br />Disposal Trench Depth: · <br />Filter Material Depth: <br />Minimum Soil Backfill: / <br />CudainDrain: ( )Yes',., ( ) NO <br />Special Requirements:..¢¢'¢'.¢/--¢'~..t--¢..~ . <br /> <br /> Site Number: q ~ -J 3-7,-7 <br /> Permit Number: ~¢~>.'3 <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />