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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 shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be insballed so as to follow the natural contour of the ground. <br />3. If there are questions conceming the layout of the system, please call our office prior to construction of the system. <br /> <br />Address: t 7~' ~'-)'~"'fC"~'~*"~,~M'¢! ~e'¢"~ <br />Legal Description: T /~ R ~ S~/ ~ <br /> Tax Lot NO. /~ ~ ~ ~, ,,,,,/~ ¢¢~ <br /> <br />Projected Sewage Flow~O ~ ) gal/day <br /> <br />Expiration Date: ~ ~/¢ ~ <br />(Request for renewal o{thiCpermit must be made prior to <br />the expiration date,) <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />Septic Tank Capacity: / 5¢¢¢ gal. min. <br />Lineal Feet Disposal Field: /;'2"~:~' <br />Distribution: .._.¢ ,¢..4,-/~/, ~.~ <br /> <br />Disposal Trench Depth: <br />Fdter Matenal Depth: ~ <br /> <br />Minimum Soil Backfill: <br /> <br />Curtain Drain: ( ) Yes; ( )~' No <br />Special Requirements: 4J~)~,~,'~:-~ <br /> <br />IMPORTANTJ- THIS PERMIT IS NOT TRANSFERABLE <br /> Keep this document with your records. Show this permit to the septic system installer prior to installation <br /> o1 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 />