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MARION COUNTY COMMUNITY DEVELOPMENT <br />BUILDING INSPECTION DIVISION <br />220 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 instal/ed a~ve and must be iospected pr~to cover. <br />2. All disposal trenches shall be installed $o aa to fore natural contour of the greun"d>... <br />3. if there are questions concerning the layout of the syste~$e, call our office prior to co"l'rst(uction of the system. <br />Name: ~-1,4~¢..~/¢_.. ~1~ ~SPEClFIOATIONS: <br /> <br />Legal Description: <br /> Tax Lot No......../{¢~ <br />System Will Serve: <br /> <br />Septic Tank Capacity: /~,~¢,0 <br />Lineal Feet Disposal Field: <br />Distribution: ¢_~ ~ <br /> <br />gal. min. <br /> <br />Projected Sewage Flow: <br /> <br />Water Supply: ~'~.,,~' <br />Issuance Date: /~.//~/~/~' <br />Expiration Date: /~'// <br /> <br />... gal/day <br /> <br /> Trench Depth: 2 <br />Disposal <br /> <br />Filter Material Depth: / <br />Minimum Soil BackfB: / <br />Curtain Drain: ( ~ Yes; <br /> <br /> (Request for renewal of this permit must be made prior to <br /> the...e~piration date.) <br /> <br />IMPORTANT! --THIB 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 system. 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 />