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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 /> C()NS'fRUCTION 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 />Name: '-$'/~ /-~--~ <br />AddreSs: I L~7(4 ~'/ <br />Legal Desoription: T <br /> Tax Lot NO, <br />System Will Serve: <br />Projected Sewage Plow: ~ gal/day <br />Water Supply: ~ ~ ~ . <br />Issuance Date: ~/7 -~,~ <br />Expiration Date: <br />(Request for renewal of this permit must be made ~.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~o~he a~p~d pl~must have prior <br /> <br />Signature /~ <br /> <br />SYSTEM SPEOIFICATION~ <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Fie~d: <br />Distribution: -%'~E'~--~ ~- <br />Disposal Trench Depth: ,,, <br />Filter Material Depth: <br /> /;2. <br />Minimum Soil Backfill: / :;2--. <br />Curtain Drain: ( ) Yes; ()~) NO <br />Special Requirements: <br /> <br />gal. min. <br /> <br /> Site Number: %~_ <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />REV, 11/92 <br /> <br /> <br />