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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 />Address: I5'bG,~' - <br />Legal Description: T <br /> Tax Lot No, <br />System Will Se~e: <br />Projected Sewage Flow: ~ gal/day <br />Water Supply: <br />Issuance Date: <br />Expiration Date: <br />(Request for renewal of this permit must be made ~ the <br />expiration date,) <br /> <br />IMPORTANT: Keep this document with your records. Show this <br />permit to the septi~ystem inst~ller pdor to installation of the <br />system, Any devi~io~ fr~m the ~d pl~ust have prior <br /> <br />Signature L~ ~ ~ ~- L~ ' <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: .~j) ,~(~Tm~_ <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: ~ ~-/~ <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes; (~) No <br />Special Requirements: <br /> <br />gel. min. <br /> <br />Site Number: q ~ - ~ '3_._ <br /> <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 15-S7 <br />REV, 11/92 <br /> <br /> <br />