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Marion County <br /> ,: �... 5155 Silverton Rd NE <br /> MarionSeptic Authorization Approval Salem, OR 97305 <br /> ,County 503-588-5147 <br /> 555-23-004442-AUTH Building@co.marion.or.us <br /> Residential Authorization Website:co.marion.or.us <br /> r� k d � rh s,�.,.e +.s "'�'✓d�.,�,g� '' � fl 'k}�x "�.ps -'�.rt .s� �. ;�.z.§ ,�v..g� axe �" �rtds� �'� � .'+^Et .'�, d"i�v� r« �`�°`�'.i <br /> Date�Issued it1I16/2 Date Ex i 10 15/ 4 � ,4 x , <br /> Work Des c pt one I E=EAU H REPL:B JRNED�,3BD SFD'WITH 3BD SFQ g <br /> Applicant: Shafer, Daniel Primary Contractor: Daniel Shafer <br /> Address: 8044 Wheatland Rd.N DEQ Installer/Maintenance Provider: M466 <br /> Keizer OR 97303 Address: 8044 Wheatland Rd.N <br /> Phone: (971)600-5469 Keizer OR 97303 <br /> Email: OFFICE@SANTIAMSEPTIC.COM Phone: (971)600-5469 <br /> Owner: DEATLEY,JAMES W(LE) Property Address: 22988 North Fork Rd SE, Lyons,OR <br /> Address: 1705 CHEMEKETA ST NE 97358 <br /> SALEM OR 97301 <br /> Parcel:092E17BC01600-Primary <br /> Authorization Notice for: Replacing One Dwelling with Another <br /> Lot Size: N/A Water Supply: Well <br /> Category of Construction: Single Family Dwelling <br /> .m c .t,141: . A'`,° .",`.` M.' a, v �, %<..�- a �,`.E x stirs �i .. t .0, ,. *.:, i''omm,„4.op.o eCE ."y"wp,vokaFrA. <br /> Number of Bedrooms: 3 3 <br /> System Specifications: <br /> Max Peak Design Flow: 375 gpd Proposed Gallons per Day: 187 gpd <br /> Conditions of Approval: <br /> This parcel was involved in the Beachie Creek Fire of 2020,the system consists of 360 linear ft of <br /> pressurized drainfield,the system was mostly intact,except for the control panel which was installed and <br /> approved with permit 555-23-004442.This authorization is approved for connection of a replacement <br /> dwelling of no more than 3 bedrooms and no increase in flow or change in use. <br /> Note:This Notice does not guarantee satisfactory or continuous operation of the sewage system.Should the system fail,a repair <br /> permit from DEQ is required. <br /> If you disagree with this report,you have the right to apply for an authorization notice denial review.The application for review must <br /> be submitted in writing within 45 days of the report issuance and be accompanied by the review fee in OAR 340-071-0140(3),Table <br /> 9C and any additional information DEQ needs to complete the review. <br /> You may apply for a variance to the onsite wastewater treatment system rules. The variance application must include a copy of <br /> the site evaluation report,plans and specifications for the proposed system,specify the rule(s)to which a variance is being <br /> requested,demonstrate the variance is warranted,and include the variance fee in OAR 340-071-140 Table 9C. A variance may <br /> only be granted if the variance officer determines that strict compliance with a rule is inappropriate or special physical conditions <br /> render strict compliance unreasonable,burdensome or impractical. A senior DEQ variance officer will be assigned the variance <br /> application. <br /> 10/16/23 <br /> 4 <br /> 1 A / , <br /> ' ' ' Y V IO( C BEFOIPI G... s T W <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administration Rules.You may obtain <br /> copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 10/16/23:11:33:09AM Page 1 of 1 ONS_OnsiteAuthorizationjr <br />