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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: 5;88-5t47 <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 te cover, <br />2. All disposal trenches shall be installed se as to fMIow the n'~tural contour of the ground. <br />3. If there ars queshons COncerning the layout of the system, please call our office prior to construction of the system, <br /> <br />Addra$$: ~"~4~_.~ ~.¢c~ ~.~,¢¢¢_-~ ~ ~, ~ <br />Lega~ Description: T~ R~ S ~ <br />. Tax Lot No. ¢7~ ~~ <br />System W I Se~e ..' ~ ~.~ ~ ~ ~ <br />Projected Sewage Flow: ~ ~ gal/day <br />Water Supply: .. ~ . , = <br />Issuance Date: ~/~/~ <br />Expiration Date: ,. / ~/~ ~ /~ ~ .. <br />(Request for renewal of this per~it mu~ be made ~rior 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 deviation from th~ approved plan must have prior <br />approval from t~ffice~ /L, , ~ <br /> <br />REV, 11/92 <br /> <br />SYSTEM SPECIFICAT/~S: / ' <br />~r'ype of System: ...~ ~- ,,4~-'~ ~ <br /> Septic Tank Capacity: ¢".~ / gal. min. <br /> Lineal Feet Dispo~l FJeld~ ~ <br /> Distribution: . ~Z~ ~ <br /> Disposal Trench Depth: ~¢~ ~/q~ ¢~ <br /> Rlter Materi~l Depth: /¢ ~ / <br /> Minimum Soil Backfill: /~ ~ <br /> Cu~ain Drain: ( ) Yes; ~ ~) No .¢ <br /> Special Retirements: ~%~,~¢~ <br /> <br /> Site Number: ¢¢%/¢ ¢~ <br /> Permit Number: ~ ~ ~ <br /> THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />