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4!,44k Marion County <br /> 5155 Silverton Rd NE <br /> MarionSeptic Authorization Salem,OR 97305 <br /> County 555-24-003296-AUTH 503-588-5147 <br /> Building@co.marion.or.us <br /> OREGON <br /> Residential Authorization Website:co.marion.or.us <br /> 1\ Di i" ') r,pf)i'Y`J_ J <br /> Date Issued; Date=Expiring:4/26/25 • <br /> Work Description: AUTH-CONNECT FUTURE 3 BDRM SFD INTO SEPTIC FOR EXISTING 4BDRM SFD THAT WILL CHANGE <br /> INTO ADU <br /> Applicant: BURNS,THOMAS R&BURNS, Primary Contractor: OSE541 LLC <br /> ROXIELLIA L Installer License: 39705 <br /> Address: 2611 JORY HILL RD S Address: 40110 Providence Dr <br /> SALEM OR 97306 Scio Or 97374-9736 <br /> Phone: 503-949-2798 Phone: 541-362-7000 <br /> Email: ROXBURNS333@GMAIL.COM Email: kiel.brown@jacobs.com <br /> Owner: BURNS,THOMAS R&BURNS, Property Address: 2611 Jory Hill Rd S,Salem,OR 97306 <br /> ROXIELLIA L <br /> Address: 2611 JORY HILL RD S <br /> SALEM OR 97306 DENIED <br /> Parcel:083W20B 01400-Primary <br /> Accessory Dwelling Unit: No <br /> Authorization Notice for: Other <br /> Lot Size: 2.10 Acres Water Supply: Well <br /> Category of Construction: Single Family Dwelling <br /> Existing Proposed <br /> Use of Structure: 4BDRM Single Family 4BDRM Single Family <br /> Dwelling Dwelling with a 3BDRM <br /> ADU <br /> Number of Bedrooms: 4 7 <br /> System Specifications: <br /> Max Peak Design Flow: 900 gpd Proposed Gallons per Day: 450 gpd <br /> Conditions of Approval: <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 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 /> 7/3/24:2:59:20PM Page 1 of 2 ONS_OnsiteAuthorizationpr <br />