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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 />,FILE <br /> <br />CONSTRUCTION PERMIT TO iNSTALL A SEPTIC SYSTEM <br /> <br /> 1. The septic syatem must be installed as shown abc ve 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: ~¢~¢-/.,~z~.~.,,~. /b2dD¢~¢~. ,~ <br />Legal De~riplion: T ~ R ~ ~ s /~ <br /> Tax Lot No. ~ ~, ~ / ~ <br />System Will Serve: ~ ~) ~ <br />Projected Sewage~ow: ~ / gal/day <br />Water Supply: ~'~ /¢¢// <br />Issuance Date: ~/~ ~/¢~ ~ <br />Expiration Date: ~/z ~/~ ~ <br />(Request for renewal of this permi(must be made ~ '~'he <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 fr~ the approved plan must have prior <br /> pprov f,om i op f& . <br /> <br />SYSTEM SPECIFICA,,.~,_ N,.~. ,4 n .~z , <br /> <br />Septic Tank Capacity; ./',¢-~z0 ,.gal. mir~ <br />Lineal Feet Disposal Field: ,~; ...... <br /> <br />Disposal Trench Depth: _.4_ <br />Filter Material Depth: ~ /x/ <br />Minimum Soil Backfill: <br />CudainDrain: ( )Yes; ( ) No <br />Special Requirements: <br /> <br /> Site Number: ¢ ~/~ 7 ;¢-¢" <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />