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MARION COUNTY COMMUNI'F? DEVELOPMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE - SALEM, OREGON 97301 <br />PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />2. All disposal trenches shall be installed~ to follow the natural contour of the ground. <br />3. If there are questions concerning ~-/ayout of the system, p/ease call our office prior to construction of the system. <br /> <br />Legal Description: T ~'~5 R /~ S i,,,~/ <br /> Tax Lot No, <br /> <br />System Will Serve: <br /> <br />Projected Sewage Flow: ~ gal/day <br />Water Supply: ~ <br />Issuance Date: <br /> <br />Expiration Date: <br />(Request for renewal of this permit must be made prior <br />the expiration date,) <br />Site ~: ~Y- ~¢~ ~er~t, <br />Signature~ ¢¢~ <br /> ~ 1~ <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />Septic Tank Capaci~: / ¢ ¢~ gal. min. <br />Lineal Feet Disposal Field: <br /> <br />Disposal Trench/JDepth: ~ <br />Filter Material Depth: /~ <br /> <br />Cumin Drain: (~) Yes; ( ) No, . <br />Special Requirements: ~¢~¢~ <br /> <br />IMPORTANT! ~ THIS PERMIT IS NOT TRANSFERABLE <br /> Keep this document with your records. Show this permit to the septic system installer prior to installation <br /> of the system. Any deviation from the approved plan must have prior approval from this office, <br /> <br />MC 15-S7 <br />REV 1/94 <br /> <br /> <br />