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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/nsf ailed as shown above and must be inspecb~d prior to cover. <br /> 2. All disposal trenches shall De Installed so as to fo/iow the natural contour of the greund. <br /> 3. If there are questions Conceming the layout of the system, p/ease call our office prior to construction of the system. <br /> ~ame: ~ ~- CO' ~--,' '~',~C: I SVS~MS.EC,F,C^T~O.S: <br /> <br /> LegalDe~¢dption: T ~,.~ R I~ S~ ~ Sept~cT~k~p~i~: (~ . .gal. min. <br /> <br /> System Will Se~e: ~ <D~ Dis~i~ion: ~ ~ <br /> Projected $~age Flow: q~ gal/d~y Dis~sal Trench Depth: ~ ~ ~ <br /> Water Supply: ~[~ ~ ~ ,, Fi~erMated~Depth: ~ <br /> tssuance Date: ~ ~ ( ~_ ~ ~ Minimum Soil Bac~ill: I ~ <br /> Expiration Date: ~ ~ ~ ~ m~ Cumin Drain: ( ) Yes; (~) No <br /> (Request for renewal of ~is permit must be made pdor to Speci~ Requirements: <br /> , ~e expiration dat~.) <br /> <br />IMPO~TANT~ ~ THIS PERMIT IS NOT T~ANSFE~ABLE <br /> MC 1~S7 <br /> Keep this d~ume~ with your records. Show ~iS parmE ~ the septic system installer prior ~ in~llatio~ R~ ~4 <br /> 0f the system. Any de,at/on from the approv~ pl~ mu~ have pdor appro~l from this office. <br /> <br /> <br />