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Marion County <br /> Certificate of Satisfactory Completion 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> CountY <br /> a!'ion Repair (Minor) - Residential - New 503-588-5147 <br /> Building@co.marion.or.us <br /> o.R,E Cr O N 555-24-004251-PRMT Website:co.marion.or.us <br /> Date C rtificate Issu tl 8129/2024 *1 <br /> ,3 no rk.-�,1D�5e s..,,c.�p.f..n,,C_✓wi,r MI .��R Ew,.+`m n R'�'�E, P' VAN <br /> I,N S,Y.�wM,n O AT, IOy,M. a„„? •.� :, :,^� ..,f WfIrio �,<{ 0 , • sr,ias • 0-' _�g is a <br /> Applicant: Ken Tooze Excavation, Inc Primary Contractor: Ken Tooze Excavation, Inc <br /> Address: 8624 Blackhawk Ct SE Installer License:39231 <br /> Salem OR 97317 Address: 8624 Blackhawk Ct SE <br /> Phone: 5033900510 Salem OR 97317 <br /> Email: kwtexcavation@aol.com Phone: 5033900510 <br /> Email: kwtexcavation@aol.com <br /> Owner: KING,ANNA A Property Address: 115 Maple St, Gates,OR 97346 <br /> Address: 12001 CHANTAL ST <br /> DONALD OR 97020 <br /> Parcel:093E26CB00700-Primary <br /> Lot Size: 0.24 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 /> t�, r s= , 'r � "�rax 'Y ,; <br /> r .., �� � � r l, ...1 _. ..���,...*1�'QS�t I2 4.%..Yc�„n„��,`-_� a_.m''...^` ` �a %,� sw,,,�,r.� gat 9.7. iPT° se 2..„. <br /> Use of Structure: 2 BDRM SFD N/A <br /> Number of Bedrooms: 2 N/A <br /> System Specifications <br /> Type: Tank Only <br /> Max Peak Design Flow: 300 gpd. Proposed Flow: 150 gpd. <br /> Min Septic Tank Volume: 1000 gal. Min Dosing Tank Volume: N/A <br /> Special Tank Requirements: using Infiltrator 1060,tank abandonment form with pump receipt is required to final the septic tank <br /> installation <br /> Drain Field Specifications <br /> Drain Field Type: Not Applicable System Distribution Type: N/A <br /> Special Requirements <br /> Other Special Rquirements: Tank Abandonment <br /> 8/29/24:9:40:52AM ONS_OnsiteCSC pr <br />