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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. Tt~e sep~¢c system mus~ be instal/ecl aa shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed so as to follow the neturaJ contour of the ground. <br />3,/f there..ax¢ questions concerning the layout of the system, please caf/our office prior to construction of the system. <br /> . <br />Name. . ~.., SYSTEM SPECIFICAT~NS. _ <br /> <br />Addres 2 ~ pe of System: <br /> <br /> Legal Description: T 4~.... R /~¢¢, <br /> T~ L~t No. ~ ~ <br />System Will Se~e: ~ ~/ ~ ~ <br />Projected Sewage Flow: ..........~ gel/day <br />Water Supply: ~ ~/ ............ <br /> <br />(R~qu~st for renewal of this ~erm~ must be made prior to <br />the expiration date.) <br /> <br />Septic Tank Capacity: /~'*z~¢/~¢--~,~ gO, min. <br /> <br />DBtrib~ion.- ~~ <br />Oi~l Trench OeCh: ~ ¢ ~ ~/ <br />Fi~r Maeri81 Depth; /~- ¢ / <br />Minimum Soil Baokfill: ~ ~ <br />Cu~inDrain: ( )Y~: (~ No <br />8p~ial Requir~me~: ~ ~~,~ <br /> <br />iMPORTANT!- THIS PERMIT IS NOT TRANSFERABLE <br /> Keep this document with your records_ Show this permit to the septic system instaUer prior to installation <br /> of the system. Any devietion from the approved plan must have prior approval from this office. <br /> <br />MC 15-S7 <br />REV 1~94 <br /> <br /> <br />