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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 />I. The septic system must be installed as shown above and must be inspected prior to cover, <br />2. Ail disposal trenches shaft 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: ~lC~ <br />Address: ) q fc"J-~;- ¥~¢~ (~.'.'.~, <br />Legal Description: .T <br /> Tax Lot No, ~T <br />System Will Se~e: ~'t <br />Projected Sewage Flew: q ~ gal/day <br />Water Supply: <br />Issuance Date: <br />Expiration Date: <br />(Request for renewal of this permit must be made Bdo[ 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 devi~ro~ the ap~ed ~an m~ have prior <br /> <br />Signature ~ ~ u ~ g v~- ~ , <br /> <br />REV. 11/'92 <br /> <br />SYSTEM SPECl FICATI 0 NS,~.TA4jb Ai~ <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: <br />Distribution: <br />Disposal Trench Depth: <br />Filter Material Depth: / '~)--¢ <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes; (,~) No <br />Special Requirements: <br /> <br />gal. min. <br /> <br /> Site Number: ~ L~, -1%,.~'~ <br /> Permit Number: S-k~ O(~'-%. <br /> <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />