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'~'~iMARION COUNTY COMMUNITY DEVELOPMENT <br /> BUILDING INSPECTION DIVISION <br /> 22o HIGH STREET NE - 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 aa shown above End muet be inspected pdor to cover, <br />2. All disposal trenches shall be installed so as to follo~the natural contour of the ground. <br />3. If there are questions concerning the layout of the system, p/ease call our office prior to construction of the system. <br /> <br /> Addrees: ~ ~.~ .~ ~ ~ ~ ./~T. ype of System: ~/~'~ ~ <br /> <br />Legal Description: T <br />Tax Lot No, / ¢* <br />system will Serve: <br />Projected Sewage Flow: .~z_..~40 gal/day <br />Water Supply: (~ <br />issuance Date:,, <br />~piration Date: <br />(Request for renewal of this ~ermi[ must be m~de p,r or to <br />the expiration date.) <br /> <br />septic Tank CapAcity: / c, ~ ,¢ 9al. min. <br />Lineal Feet Disposal Field:. ,~r~<-~__~, <br />Distribution: ,~',M-.~-~.~ ~ <br />Disposal Trench Depth: ,¢~ ¢' '~ ~v~.-~,/,-,-~ ,eX <br />Filter Material Depth: / ;7-- ~/ <br />Minimum Soil Backfill: / ,Z Y <br />Curtain Drain: ( )Yes; ( ) No <br /> <br />IMPORTANTI- THIS PERMIT IS NOT TRANSFERABLE <br /> Keep this document with your records. Show this permit to the septic system installer prior to installation <br /> of the syetem. Any deviation from the approved plan must have prior approval from this office. <br /> <br />MC 15-S7 <br />REV 1/94 <br /> <br /> <br />