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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPI=CTION DIVISIQN <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 i above and must be inspected prior to cover. <br />2, All disposal trenches shall be installed so as tq follow the natural contour of the ground. <br />3. If there are questions concerning the layout of lthe~ system, please call our office prior to Construction of the system. <br /> <br />Addreee: IL~t.~(q. ~6=L~.d-. I~_.t ~ <br />LegaIDescrtption: T ~ R ~lS ~ <br />System Will Serve: ~ D~ ~ : - <br />Projected Sewage ~ow: ~ ~ : gal/day <br />Water Supply: ~ I~ ~ ~ ' , _ <br />Issuance Date: .~-~% ~ <br />Expiration Date: .... ~ ~ ~R~- <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 [he septic system installer prior to installation of the <br />system, Any deviatio~e a~pro~d ¢~must have prior <br /> <br />S gnature ~ ~ ~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <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 />gal. min, <br /> <br /> Site Number: (-¢q ,'- /~'2 <br /> Permit Number: ~:~' ~ <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 15-S7 <br />REV. I 1/92 <br /> <br /> <br />