Laserfiche WebLink
MARION COUNTY COMMUNITY DEVELOPMENT <br />BUILDING INSPECTION DIVISION <br />320 HIGH STREET NE - SALEM, OREGON 97301 <br />PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> 1, The <br />2, <br />3. ~f there are questions concel'ning the layout of the system, p/ease ca//our office prior to const/uetion of the system, <br /> <br />Add,ess: ~O~s~ BUTT~U~,CC~' <br />Legal Description: T <br /> <br /> T~ Lot ~o. qe'~¢t' - ooo, <br />s~stem wi, Sea,e: ~r~ ~C.~ ...... <br />Projected Sewage Flow: , t~'O gal/day <br /> <br />Water Supply; _- <br />rssuance Date: <br />Expiration Date:~ 't ,-;,,, <br />{Request for renewal O! this pernlit must be tllade prior to <br /> <br />Site ~: ~ pe~: _,.,,%3;;)-? o <br />Signature' , <br /> <br />SYSTEM SPE¢IF|CATIONS: <br /> <br />Type of System: -.-~'r~,g 0 <br /> <br />Septic Tank Capacity: <br /> <br />LJn~l F~t Disposal Field: <br /> <br />Dis~ibution: ,, ~ <br /> <br />0[sposal Trench Depth: <br /> <br />Filter Material Depth: <br /> <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes: <br /> <br />gal. <br /> <br />Special Requirer'ns.tS: <br /> <br />IMPORTANTt ~ THIS PERMIT IS NOT TRANSFERABLE <br /> Keep this document with your records, Show th~$ permit to the Septic system installer prior to installation <br /> of the system· Any devJatloa from the approved plan must have prior apprOVal from this Office, <br /> <br />MC 15-S7 <br />R~v' 1/94 <br /> <br /> <br />