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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 disposal 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: "~U t I~ <br />Address: ~'~ ~{2"7 <br />Legal Description: T <br /> Tax Lot NO, <br />System Will Serve: <br />Projected Sewage Flow: q ~ gal/day <br />Water Supply: <br />Issuance Date: <br />Expiration Date: <br />(Request for renewal of th~s permit must be made odor to 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 deVOn f~m th~ a~ved~lan must have prior <br /> <br />Signature I~1 <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: ~ gal. min <br />Lineal Feet Disposal Field: <br />Distribution: <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: 1 <br />Curtain Drain: ( ) Yes; (~.) No <br />Special Requirements: <br /> <br /> Site Number: ~ ~ ¢,,,,~;LD.. I <br />Permit Number: -,~l ~'7~ <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 15-S7 <br /> <br /> <br />