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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 as ahown above and must be inspected pdor to cover. <br />2, All disposal trenches shall be installed ac as to follow the natural contour of the gn3und, <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: ....~.~_ '. <br />Address: /~:~J~" ~ ~' "~20'~,Z <br />Legal Description: T /~_5~ R ,,5~-,~ S ~_.. <br /> <br /> Tax Lot No. '77~ <br />System Will Serve: "~g /~.¢--/~,~, ~ <br />Projected Sewage Flow: ~ .... gal/day <br /> <br />(Request for renewal of this permit must be made prior to <br />th~x~ration date.) <br />Site ¢: ~ ~¢~/ ~rmit ¢: ~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ~/ <br />Septic Tank Capacity: / ¢¢¢ gal. min. <br /> <br />Lineal Feet Disposal Field: <br />Distribution: ~ <br />D isposaITrench Depth: ~*/~/¢~ ~A~' , <br /> <br />Minimum Soil Backfilk <br />Curtain Drain: ( )Yes~, <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 />