Laserfiche WebLink
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 syatem must be installed as shown above and must be inspected pdor to cover. <br />2. All disposal trenches shall be installed sc as to follow the natural contour of the ground. <br />3, I! there are queetions concerning the layout of the system, please call our office pdor to construction of the system, <br /> <br />Address: (~lbR ~,~E(~,,~I>~"; ]k..~I A~I~ <br /> <br />Legal Description: T <br /> <br /> Tax LOt No. <br /> <br />System Will Serve: <br />Projected Sewage Flow: <br /> <br /> gal/day <br /> <br />Water Supply: C¢[~"/ ~ ~ <br />Issuance Date: ~ ~ ~9 -ff~ <br />Expiratio. Date: 3 - ~ -~ <br />(Request for renewal of this permit must be made pri0r~ <br />the expiration date,) <br /> <br />Signature: ~~ ~ ¢~ <br /> <br /> SYSTEM SPECIFICATIONS: <br /> <br /> Type of System: S'C't~k5 r~ <br /> Septic Tank Capacity: [ ~:::~:) , gal. min. <br /> <br /> Lineal Feet Disposal Field: <br />~Distribution: ~ --~'~5;~ (~ i~ __ <br />Disposal Trench Depth: ~'~' <br /> <br />Filter Material Depth: <br /> <br />Minimum Soil Backfill: <br /> <br />Curtain Drain: ( )Yes; <br />Special Requirements: <br /> <br />( j~_J No <br /> <br />IMPORTANT!- 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 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 />