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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 $o 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 />A d d r e s .~¢'~¢-~,.~/'~?-Z~ P~ PT, ~.-~z/~.~e~ <br />Legal Description: T ~3 ,,, R /~/ S ~ <br /> Tax Lot NO, ~¢¢ /, ¢~.~ <br />System Will Serve: ~ ~ ¢ ¢~ ~ <br />Projected Sewage Flow: ~ ......... gal/day <br />Water Supply: '~X¢ ' <br />Issuance Date: ,,,E/~/~ , ~ <br />Expiration Date: r / ~/ z~/ p,,~", <br />(Request for renewal of this permit must be made orior,[~ 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 deviation from the approved plan must have prior <br />approval fro~ ~ffice. ~ <br /> <br />MC ~5-S7 <br />REV, 11/92 <br /> <br />SYSTEM SPECIFICATI(~h)S: / <br />Type of System: ,~7'~,--,~',~'] <br />Septic Tank Capacity: /~' ~o gak min. <br />Lineal Feet Disposal Field: z~/~,~-~. <br />Distribution: <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfil <br />Curtain Drain: ( ) Yes;/,) <br />Specia~Requij'ements: ./¢ ¢'-~ <br /> <br /> -' Site Number: ~ ~z¢' <br /> Permit Number: /.~'~ ? <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />