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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 />Addres,~i |fJ¢(~,_.~-" /,~'A-'~g. 4~:$c, ~ <br />Legal Description: T ~¢ R I ~ S f ~ <br /> <br />System Will Serve: ~P~ <br />Projected Sewage Flow: ~ gal/day <br />Water Supply: ~ ~ ~ <br />Issuance Date: ,,,¢ ~ <br />Expira[io~ Date: ~T ~ ~ <br />(Request for renewal of this permit must be made ~ the <br />expiration date,) <br />IMPORTANT: Keep this document with your records, Show this <br />permit to the septic s~tem installer prio[ to ins~llation of the <br />system, Any deviati~ ¢o~he a~r~ pl~ve prior <br />approval from this op:,~ . ~//~.~ <br />Signature ~ F/~1~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ;~;3T-~ ~1~ ,, <br />Septic Tank Capacity: ( ~ gal, min. <br />Lineal Feet Disposal Field: <br />Distribution: I ~ <br />Disposal Trench Depth: ;;;;;~.~f <br />Filter Material Depth: !~" <br />Minimum Soil Backfill: ~ <br />Curtain Drain: ( ) Yes; (X'~ No <br />Special Requirements: ~TIE..~- <br /> <br /> Site Number: <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 1S-S7 <br />R~V, 1 ~/92 <br /> <br /> <br />