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Marion County <br /> 5155 Silverton Rd NE <br /> _ _ Salem,OR 97305 <br /> P,a„o,2 Septic Permit 503-588-5147 <br /> counr!) Building@co.marion.or.us <br /> OREGON Installation Permit - Residential - New Website:co.marion.or.us <br /> 555-21-006090—PRMT <br /> Schedule or track inspections at www.buildingpermits.oregon.gov <br /> Call or text the word "schedule" to 1-888-299-2821 use IVR Number:555030160033 <br /> Schedule using the Oregon ePermitting Inspection App, search"epermitting"in the app store �; <br /> ,� six' e - . �r�v. F* VR - �"' grgrA l+attratda " � <br /> .,.rs - .3t,� '. v �. � s +�r t !. C' `'`� �2` 1 `�"ye Sys ^h ,� <br /> �,�..T.� 'K:r;#i '�i ��. &. � j�� s i''� ss � -:�,3r � � � eEi+�'n � �L'-a � � ja.�'x` � si��'�t'•`�"*z�, <br /> t,aNx? P Y��y�� a .tea`rN=y `" i s 'y p. 0V . r �z�+`''. - :S s1 - 4 y <br /> .5 ni :da.... 4 r"S`sw^:'S. ._"Xdl .s�v...3Y �.r`x'4 .1 ..,1.�'s-:? {"'4t' 'ty % yP k 6„t a§ {tti '.. mtNm. -xc„y' ";. d o -f) ls,I, <br /> Work°d n 1NEW , � .., 4tii g- �sts,? o•'.t#5 o '�r t' $: #` �.'s'',n. '*.f'c . �t -. 3�- ',o Yns `,� 4 -r-�y- <br /> cakx� r ' sne r � .�, ir.k4 Fat-t a�'.'-',�"# ` ' ,�3 +k x.. y;. a t cxof ex "�i. v t,r e� . s"�.,' <br /> su., r,.�s:..€c§g .�-�.,� .,_�...rrusnu „>.�:� .�. d ,t.L'r� a�.,= 4,.x,gym-....� <br /> Applicant:. HAZENBERG,BRANDON Primary contractor:Cary Laughlin Excavating, Inc. <br /> Address: 5828 CHAMPOEG RD NE Installer License:38683 <br /> ST PAUL OR 97137 Address: 20005 Rosenbalm Road <br /> Sheridan OR 97378 <br /> Phone: 503-516-1727 Phone: (503)550-1923 <br /> Email: claughlinexcavating@onlinenw.com <br /> Business License: N/A <br /> Owner: HAZENBERG,HENRY Property address: 22427 River Rd NE,St Paul,OR 97137 <br /> Address: 5828 CHAMPOEG RD NE <br /> ST PAUL OR 97137 <br /> Parcel:042W04 01000-Primary <br /> Lot size: <br /> 47.32 Acres Water supply: WellZoning: N/A City/County/UGB: N/AN/A <br /> Land use approval: N/A County: <br /> New Type of application: Construction Permit-Residential <br /> Action: <br /> System failing: N/A Septic tank last pumped: N/A <br /> Comments: N/A <br /> Category of construction: Manufactured Dwelling _ — �rA . <br /> .�-.-,.;rx :.,ram fr '€ ;'. '+r- z.'e kac. Ti YsC '^.fi.1*VXW .,is - 10-�m �' k 33 t * t la. Rz3, 'mposi <br /> t, .. 4,- .i 4 . a .., ' 4 41 s x -. 3g ' - .A1 ;.i&r=?,,:n.�, F� 1 mac_ <br /> `,.�'� ���- xa.,��..��aa�����r:� .e,�,a:..�,.. a�,�r" ::�_'.�-._Y� �€y.yl_z# ,..,r. 0 <br /> 3 <br /> Number of bedrooms: <br /> System Specifications <br /> TT TS 1 <br /> Type: Alternative Treatment Technology(ATTs) ATT description: A25 gpd. <br /> Max peak design flow: 450 gpd. Proposed flow: <br /> Min septic tank volume: <br /> 1000 gal. Min dosing tank volume: 500 gal. <br /> Special tank rqmts: anti-buoyancy required on tank and ATT <br /> Drain Field Specifications <br /> Drain field type: <br /> Gravelless System distribution Ttpe: Equal <br /> Drainfield sizing: <br /> 45 linear ft. Distribution method: Equal-Hydrosplitter Media type: Other-Indicate Product/Manufacturer Media depth: 12 in. <br /> Media type description: EZ Flow N/A <br /> Trench length: 135 linear ft. Rock above pipe: <br /> Max depth: <br /> 12 in. Undisturbed soil between trenches: 8 ft. <br /> Min depth: 12 in. Capping fills-min depth of fill material: 10 in. <br /> CALL BEFORE YOU DIG...ITS THE LAW <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon <br /> Administration Rules. You may obtain copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification <br /> Center is 1-800-332-2344.) <br /> 6/24/21:9:21:02AM <br /> Page 1 of 3 ONS OnsitePemlit_pr <br />