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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 EM <br /> <br />1. The septic system must be instafled as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed eo aa to follow the natural contour of the ground. <br />3. If there are questions concerning the layout of the system, <br /> <br />Name: ~=~OCdO ' ~(~,~,,OT. t'"~ E ~ ~ ¢:~ <br /> <br />Address: ~c)q'2._ ~P-~,b6~ ~-, ~G- <br /> Legal Description: T ~ $ R /cO S ~-')-- <br /> Tax Lot No. '7 { ~'~O - ( SO <br />System Will Serve: ~-s~ [ b(~'0 ¢.~ <br />Projected Sewage Flow: L~'~-'~ .,, gal/day <br />Water Supply: ~a~ ~71/ (~L~ <br />Issuance Date: lC)- g-%'~ 4~ ~ <br />Expiration Date: I t) - ~ ~', ~" <br />(Request for renewal of this permit must be made prior tO <br />the expiration date,) <br /> <br />Signature: <br /> <br />)lease call our office prior to construction of th <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />Type of System: ~'~-I::¢t~' "~ <br />Septic Tank Capacity: ~-X t 5'T-I/OC~ <br />Lineal Feet Disposal Field: { %0 <br /> <br />Distribution: <br /> <br />Disposal Trench Depth: <br /> <br />Filter Material Depth: <br /> <br />Minimum Soil Backfill: <br /> <br />Ourtain Drain: ( ) Yes; <br />Special Requirements: <br /> <br />MPORTANT~ -- THIS PERMIT IS NOT TRANSFERABLE <br /> Keep this document with your records. Show this permit to the septic system installer prior to inatallation <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 />