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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 ~'yStem must be installed as shown above and must be inspected prior to cover, <br />2. All disposal trenches shall be installed sO as to follow the natural con~u~' of the ground, <br />3. If inere are quastlol~ concerning the layout of the System, please cae our office prior to con$~ructlon of ~he system, <br /> <br /> Legal Descdption: T.~.~, R <br /> <br /> Tax ~t No. <br /> <br /> S~tam ~Jl Se~e: <br /> Projemed S~age Flow:., ~ g~d~y <br /> Water Supply: <br /> ~ssuance Date: ..... <br /> <br /> ~xpirat~on Date: <br /> (Reque~ for renewal of this pe~it must be made prior <br /> t~e expiation d~te.} ..... <br /> <br />IMPORTANT! ~ THIS PERMIT iS NOT TRANSF~RABL~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ~. -~,,~A¢_.~.., <br /> <br /> gal. min. <br /> <br />Septic Tank Capacity: <br /> <br />Uneal Feet DJsposaJ Reid: <br /> <br />Distribution: <br /> <br />Disposal Trench Depth: <br /> <br />F~lter Material Depth: <br /> <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes; <br />Special Requirements: <br /> <br />(,,.'C) Ne <br /> <br />Keep this document with your records. Show thls permit to the Septic system installer prior tO installation <br /> <br />MC 1 <br /> <br /> <br />