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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 instafled as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be instal/ed 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: ~'O{-(/Q ~[,u. ¢.Z ¢¢-/ <br />Address: !_~f ~% ~,,,~,~ ~ <br />Legal Description: T ~ ~S ~ <br /> Tax Lot No, <br />System Will Serve: ~ b~ <br />Projected Sewage FIowj , ~ ........ ~al/day <br />Water Supply: ~ <br /> <br />Expiration Date: ~ ~ ( ~ ~ ~ <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 deviatio~m the aPprov~d pla~ust have prior <br />approval from this ofccp. ~ .~ ~ ~ ~ <br /> <br />SYSTEM SPECIFICATIONS&.,. <br />Type of System: '.~,,~,~--/) <br />Septic Tank Capacity: ( .~:x~C:~ gal. min, <br />Lineal Feet Disposal Field: "::~? ~.., <br />Distribution: ~ ~ <br />Disposal Trench Depth: ~'~ ~tt, J./~'~ ,~I4X, <br />Filter Material Depth: /,.'.'.~ ~' <br />Minimum Soil Backfill: , /~- ' <br />Curtain Drain: ( )Yes; (L/) No <br />Special Requirements: <br /> <br /> Site Number: (~ <br /> Permit Number: ~ ~...~ <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC t8-$7 <br />REV, 11/92 <br /> <br /> <br />