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MAR ON COUNTY coMMuNITY DEVELOPMSNT <br /> BUILDING INSPECTION DIVISION <br /> 220 HIGH STREET NE!- SALEM. OREGON 97301 <br /> PHONE,,; 588-5147 <br />CONSTRUCTION PERMIT T0 INSTALL A SEPTIC SYSTEM <br /> <br />,i <br /> <br />~/, &.¢_.; ~.~t/__ 379 7 <br /> <br /> 1_ The septic system must be Instelled as shown above and must be inspected prior to corr. <br /> 2. ~1 dis~sal ~nches sh~l ~ In$~ll~ so as ~ follow ~d natu~l con~r of ~e g~u~. <br /> & /f there are ques[l?ns con~em,~g ~e layo~ of ~e ~, pl~se call our office p~or to COnSt~tion ~f the ~tem. <br /> Name:'~~ ~~ ~~; SYS~M $PECIFICATIgNS: <br /> <br /> Legal De~ription: T /~ R ~ S ~ Sep~c Tank C~: /~ g~. min. <br /> T~ Lot No_ , ~ Uneal F~t Dispos~ Field: /~ <br /> <br /> Proje~ed ~wage Row: ~ / g~/day ' <br /> <br /> me eXpkat!~ date.) <br /> <br />IMPORTANTI ~THI~ PERMIT I~ NOT T~ANSFEHA~LE <br />Keep this document with your records, 8how this permit to }he septic s~tem i~stallef prior ~O ingtallation MC ~S-S7 <br />of the wstem. Any deviation from the approved plan mum have prior approval from this office, ~ ~4 <br /> <br />Distribution: <br />DispO~a~ Trench Depth: ~ <br /> <br />Rl~r Matefl~ De,h: <br /> <br />Minimum Soil ~11: <br />Cu~n DraM; ( )Yes; <br />Special R~uiremeo~: <br /> <br /> <br />