| Marion County
<br />  		-.  — -      			Certificate of Satisfactory Completion     		5155 Silverton Rd NE
<br />		Marlon      														Salem,OR 97305
<br />  		County       			Repair (Minor) - Residential - New      			503-588-5147
<br />       																Building@co.marion.or.us
<br />       	OREGON  					555-21-001453-PRMT-01       			Website:co.marion.or.us
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<br />  	o   Description a   FIRE ,MIN REPAIR TANK ONLY REPL 3 BDRM.RES W/NSFD=1 BDR I SA IE'.FOOTPRINTX   �   	_.
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<br />       Applicant:	MILLER,ROSS J 					Primary Contractor:Hopson Services,LLC
<br />       Address: 	35425 RUTH ST 					Installer/Pumper License:39227
<br />   			LYONS OR 97358       				Address: 	PO Box 51
<br />       Phone:    	503 881-6229       							Mill City OR 97360
<br />       Email:     	millernorthfork@gmail.com      			Phone:   	(503)897-4445
<br />       										Email:    	rddhops@gmail.com
<br />       Owner:   	MILLER,ROSS J  					Property Address:      35425 Ruth St SE, Lyons, OR 97358
<br />       Address: 	35425 RUTH Si-
<br />   			LYONS
<br />   					TLYONS OR 97358
<br />       Parcel:084E32BD03100-Primary
<br />       Lot Size:     						0.83 acres     Water Supply:       						Well
<br />       Zoning:     							N/A     City/County/UGB:    						N/A
<br />       Land Use Approval:       					N/A
<br />       Category of Construction:     Single Family Dwelling
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<br />       Use of Structure:       				3 BDRM SFD-  					1 BDRM SFD
<br />     								BURNED
<br />       Number of Bedrooms:       				N/A       							1
<br />       System Specifications
<br />       Type:  							Tank Only
<br />       Max Peak Design Flow:       				300 gpd.    Proposed Flow: 						150 gpd.
<br />       Min Septic Tank Volumes     				1000 gal.    Min Dosing Tank Volume:   					N/A
<br />       5/10/21:3:03:39PM  						Page 1 of 3      						ONS_OnsiteCSC_pr
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