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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 installed aa shown above and must be inspected prior to cover. <br /> 2. At] disposal trenches shat] be installed so as to foflow the natural contour of the grouod. <br /> 3. if there are questions concerning the layout o1 the system, please call our office prior to construction of the System. <br /> <br /> Name: ,Z~/~) ~'~ ! ~ SYSTEM SPECIFICATIONS: <br /> Address: /O~.~,~ /'~,'~.~¢-_77~ ~4~J,4J'~7 ~' Type of System:,, <br /> Legal Description: T ~.~ 5 R I/~ S ~ Septic Tank Capacity: I ~X3~3 ... gal. min. <br /> Tax Lot No. ~[~- ~;~) 2.- Lineal Feet Disposal Field: f-i/-.~%'-~'~ <br /> <br /> System Will Serve: ,, ~;;)-'~,_;),~,,~ ~O¢_J~~ Distribution: ~'~'~ ~.,-- <br /> Projected Sewage Flow:, , ~--'-~ gal/day Disposal Trench Depth: <br /> f <br /> Water Supply: .,, 0~ ~ Filter Material Depth: <br /> Issuance Date: ,(¢ ~, ~ ~7/ Minimum Soil Backfill: <br /> <br /> Expiration Date: (~ ~ ~ --,~-' Curtain Drain: (X") Yes; ( ) No <br />(Request for renewal of this permit must be made prior to SpeciaiRequrements:~ D~L=~'P ~..~,~T~-.~x-) <br />_t~h,,.e expiration date,)__ 'D~.-~-I/O ~ ~11.4 <br /> <br />IMPORTANT] --THIS PERMIT IS NOT TRANSFERABLE <br />Keep this document with your records. Show this permit to the septic system installer prier to installation MC 15-S? <br />of the system. Any deviation from the approved plan must have prior approval from this office, eEV ~/94 <br /> <br /> <br />