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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: <br />Address: <br />Legal Description; T <br /> Tax LOt No. <br />System Will Serve: <br />Projected Sewage Flow: ~,,~ gal/day <br />water Supply: <br />Issuance Date: <br />Expiration Date: t - <br />(Request for renewal of this permit must be made prior 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 devi~,J,~om ~a~prov.,e~t plan must have prior <br />approve, from <br />Signature ~'-'e~.~-~-- I P" <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank Capacity: (~.,, gel, min. <br />Lineal Feet Disposal Field: .~'~ <br />Distribution: ~ ~ , . <br />Disposal Trench Depth: . <br />Filter Material Depth: ,, <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes; (24~) No <br />Special Requirements: <br /> <br /> Site Number: <br /> Permit Number: · <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC <br />REV, 11/92 <br /> <br /> <br />