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MARION COUNTY COMMUNITY DEVELOPMENT <br />BUILDING INSPECTION DIVISION <br />22]0 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 shown above and must be inspeoted pdor to coven <br />2. All disposal trenches shall be installed so as to follow the natural contour of the greund. <br /> <br />3. If there are questions concerning the layout of the system, <br /> <br />LegalDescription: T ~,5; R [C,-~ $ ~ <br /> <br />System Will Se~e: ~D ~ <br />Projected Sewage Flow: ~, ga~/day <br /> <br />Water Supply: Ct~ ~ ~ , <br />Issuance Date: ~ ~ ( ~- ~ q <br />Expiration Dae: ~ ~ I ~ --¢~ <br />(Request for renewal of this permit must be made prior to <br />the expiration date.) <br /> <br />Signature: <br /> <br />91ease call our office prior to construction of the system. <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />Type of System: ~¢p~f~ <br />Septic Tank Capacity: I ~ <br />Lineal Feet Disposal Field: ~.'~ <br />Distribution: ~ ~"~'~t ~ <br /> <br />gal. min. <br /> <br />Disposal Trench Depth: <br /> <br />Filter Material Depth: <br /> <br />Minimum Sail Backfill: <br /> <br />Curtain Drain: ( ) Yes; <br />Special Requirements: <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 />