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FOR OFHC~_~US.Efl~NL~¥ MARION COUNTY BUILDING
<br /> ~ceive0 By:' /~ ~0 His~
<br /> Zo~n~ V~i~OR ~' ~lcm, OR97301
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<br /> Code. A-~hone 588-7904
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<br /> SITE EV~UATION ~D/OR SEP~C PE~IT
<br />LLocafionofI~stallation ~ ~ * 5~ g G',~,
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<br />2. formatio]
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<br />Commercial (DSF -Dailv Sewage Flow~ $ __ _
<br />Site Evaluation, tlrst 1000 ~al, DSF 245,00 20,00
<br />Site Evaluation ea. akldl, 500 8~tl, DSF ' : ............ 75,00 20.00/m
<br />Constmction,,8~;;.Repair Pumits ', ......
<br />Standard ~,~em less than 1000 gal DS]? 245,00 10.00
<br />Standard, ~y~tom more than lO00 sal, DSF:
<br />g245,,00 + $15 each addL 500 gal, DSF 10,00
<br />CappingFlll ' 7~'15,0o · 10.00
<br />~isp0sal T~nches ia Saptoiito ....... 245,00 10.00
<br />Gray Water Waste Disposal Sumo : 120,00 10.00
<br />Holdi~/z Tank 2~5..Q17 I0.00,
<br />Pressure Distribution 350,00 I0~00
<br />Redundant System 245.00 I0,00
<br />Sand Filter 445-00 ' 10-00
<br />S~epage T~ ~,c.h 245.00 ,,
<br />Stoop Slope 245.00 10,00
<br /> T e Dewalefing System ........ 350.00 10,00
<br /> plan Review
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<br /> >60ORa DSF,< O0 ga DSF 100,00 ,00
<br /> ~For eagh,,,,additiond $00 aal, DSF 25,00 .00
<br /> Alterations I 245,00 10.00
<br /> Re ap.~Mdnbr ' ":; ' ' ;i75;00' '1,0)00 :'
<br /> Construction Permi!,,.R.c~ngwa[ (Field Visits) 150.00 10.00
<br /> Conslmq.tjp~,n Permit Renewal (No Field Visits) 85.00 10,00
<br /> F~xlstinS System Evaluati,gn Report 150,00 10.00
<br /> Authorizer!aa Notice (]?ield Visit) .................. IS0,00 10,00
<br /> AuflmdTatio~,,.N,,o..tice ¢No Field Visit) 85,00 ' lO-O0
<br /> Annual Evaluation of Altorn~tiv,~, ,S, yst~m 150,00 10,00
<br /> Annual Evaluati9p of La~e System 90.00 10,00
<br /> Pumper Track In, sp. ection~ First truck 50,00 ,00
<br /> Pumper Truck laso¢Cti~e,.a. ,midi, truck '35.00 .00
<br /> Olher
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<br />(Malk~rp'~'iicable to fids Application)
<br />(~'~l'est Holes ar~ Dug
<br />( ) I will call when Test Holes Dug
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<br />( ) I am performing work on a property ! own or occupy
<br />( ) I~.am a registered builder or ( ) the authorized t~p~sentative
<br />(~) The walk will be performed by a DEQ Lieens~d Instiller
<br />( ) O0~er
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<br />MC 15-SI REV 2/93
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<br /> Res~dentml Single ]*am,Iv ( ~ E~/r.~ $ ¢-~
<br />Site Bvalaation,, firs[l.ot (J 245:00 20,00
<br />,S~nda~ Sys~m 245.00 I 0,.90
<br />'Gm7 W~to,[,~ispoml Sump 120,00 10,00
<br />P~ssum Distribution 350.00 10.00
<br />, Red6~Og~t 245.00 10.00
<br />Sand Filer ~5.00 ~ 10-00
<br />~epage ~nch 245,00 10,90
<br />.... ~teep Slope 245.00 10.00
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<br /> Al~mtion 245.00 10.00
<br />R~paiq Mai0r (d~infiald) 115;00 10,00
<br />~ir, Minor (~nk) 75200 10.00
<br />Construction Pe~it Renewal (Fiel,d y~alt} ........ 150.00
<br />Cons met on Pu~it Ren¢~l,,(Np, ~ip~,d,,,~isit) 85,00 10.00
<br />Aut~0n NotiCe {F~!d y~sit) 150.00 10,00
<br />Authofi~ion N0~*O (No 'Fidd Visit) 85;00 :10,00
<br />F~isting System Evaluation 150.0~ 10.00
<br />Annual Evaluatio~AIWm~ivc System 150.00 ,00
<br />Annual Evaluatio~cmp. 0r HaMship MH 90.00 ,00
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<br />of the S~ of O~gon and the ordinances of~fio~ Count,
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