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Marion County <br /> Certificate of Satisfactory Completion 5155 Silverton Rd NE <br /> Marlon Salem, OR 97305 <br /> courrn1 Repair (Major) - Residential - New 503-588-5147 <br /> Building@co.marion.or.us <br /> e e G° N 555-24-003030-PRMT Website:co.marion.or.us <br /> SU �'1 i2Vi" 024 g w � $g a :4 P ` • <br /> 4� $- � fl 5 "a a , $t ter <br /> trci <br /> O 6d l e$CCI})ti02- liEtk! t - 136 s �. ' " q ®° $� q r a h ba <br /> 4 pp tt <br /> .� <br /> ,max _� <br /> Applicant: Clean Slate,LLC Primary Contractor: Clean Slate,LLC <br /> Address: 40200 PROVIDANCE DR Installer License:39190 <br /> SICO OR 97374 Address: 40200 PROVIDANCE DR <br /> Phone: 503-932-2251 SCIO OR 97374 <br /> Email: clsl2@yahoo.com Phone: 5033837580 <br /> Email: clsl2@yahoo.com <br /> CORSON,ANTHONY <br /> Owner: Property yAddress: 118 North Santiam Hwy,Gates OR <br /> Address: PO BOX 615 97346 <br /> MILL CITY OR 97360 <br /> Parcel:093E27DA01800-Primary <br /> Lot Size: 0.59 acres Water Supply: Community Water Supply <br /> Zoning: N/A City/County/UGB: N/A <br /> Land Use Approval: N/A <br /> Category of Construction: Single Family Dwelling <br /> Use of Structure: N/A 2 bedroom single family <br /> dwelling <br /> Number of Bedrooms: . 2 2 <br /> System Specifications <br /> Type: Pressure Distribution <br /> Max Peak Design Flow: 300 gpd. Proposed Flow: 150 gpd.. <br /> Min Septic Tank Volume: 1000 gal. Min Dosing Tank Volume: 500 gal. <br /> Special Tank Requirements: 1500 gallon septic dosing with pump and alarm,electrical permit and final required to final system <br /> installation,will need tank abandonment form with pump receipt for old tank <br /> Drain Field Specifications <br /> Drain Field Type: Pressure Distribution System Distribution Type: Equal <br /> Drainfield Sizing: N/A Distribution Method: Pressurized <br /> Seepage Bed Specs: 400 ftA2 Bottomless sand filter sqft: N/A <br /> Media Type: Rock/Pipe Media Depth: 12 in. <br /> Trench Length: N/A Rock Above Pipe: 2 in. <br /> Total Rock Depth: 12 in. Rock Below Pipe: N/A <br /> Max Depth: 12 in. Undisturbed Soil BetweenTrenches: - N/A <br /> Min Depth: 12 in. Capping Fills-Min Depth of Fill Material: N/A <br /> Special Requirements <br /> Pump to Drainfield Required: Yes Filter Fabric on Top of Drain Media: No <br /> Other Special Rquirements: compacted gravels removed,install 12 inches into native with additional new 12 inches of native <br /> soils capped over system,will require Operation and Maintenance agreement for the life of the <br /> system <br /> 8/26/24:2:24:08PM ONS_OnsiteCSC pr <br />