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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 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 ca//our office prior to construction of the system. <br /> <br />Name: ~)~.~70~__j~ ~'~t~../~-"l~l <br />Address: / ;,'~ ~. ~" <br />Legal Description: T <br />Tax Lot No. <br />System Will Serve: ~t <br />Projected Sewage Flow: /-J ~ gal/day <br />Water Supply: <br />Issuance Date: ~¢~-*~ I -~'-~"t~ <br />Expiration Date: .~--~ <br />(Request for renewal of this permit must be made ~3rior to the <br />expiration date.) <br />IMPORTANT: Keep this document with your records. Show this <br />permit to the septic system installer prior to i.nstallation of the <br />system. Any deviati~h'~e aj~p/r~Cjcd pl~, ,st have prior <br />approval from this (~/./~/. <br />Signature [,,_.~ L~,,_~.~¢ ~. ,~/ <br /> <br />SYSTEM SPECIFICATIONS:_ <br />Type of System: <br />Septic Tank Capacity: /[L¢'~I~:('~ gal. min, <br />Lineal Feet Disposal Field: /~"'~'"~. .. <br />Distribution: t~_ ~;)fJ <br />Disposal Trench Depth: ~TL <br />Filter Material Depth: ..( <br />Minimum Soil Backfill: ¢~, '~, <br />Curtain Drain: ( ) Yes; ()(') No <br />Special Requirements: <br /> <br /> Site Number: ~7'UC '~/77~;/ <br />Permit Number: ~--~r4-'-7 ~ <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />MC 15.S7 <br />REV, 11/92 <br /> <br /> <br />