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MARION COUNTY COMMUNITY DEVELOPMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE - SALEM, OREGON 97301 <br />PHONE; 688-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />I. The septic system must be instal/ed as shown above and must be inspected pdor to cover. <br />2, All disposal trenches shall be installed so as to follow the natural contour of the ground. <br /> <br />3. ff there are questions concerning the layout of the syStem, <br /> <br />Address: //~2~7{ ~C~ ~, ~E <br />LegaIDescription: T ~ R ~ S ~ <br /> TaX LOt NO. ~0~- ~ <br /> <br />Preje~ed Sewage Flow: ( ~O gal/day <br />Water Supply: ~ ~ <br />Issuance Date: ~ ~ ~ - ~ ~ <br />Expiration Date: %' ~ ~ ~ <br />(Request for renewal of this permit must be made ~r to <br />the expiration date.} <br /> <br />Signature; .... <br /> <br />>lease carl our office prior to construction of the system. <br /> SYSTEM SPECIFICATIONS: <br /> <br /> Type of System: ~ 7~A~ D ~ <br /> Septic Tank Capacity: / ~ gal. min. <br /> <br /> Lineal Feet Disposal Field: /~:~ 0 <br /> Di~ribution; ~ <br /> DisposaITrench Depth: /~ ~'{ ~ <br /> Filter Material Depth: /~ ~t <br /> Minimum Soil Bacilli: ~ ~l <br /> Cu~ain Drain: ( ) Yes; (~) No <br /> Special Requiremen~ ~1~ ~.f~ <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 />