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cou. BU Lo .O °l, - <br /> COMMUNITY DEVELOPMENT CENTER t~- ~:~)-L~L0 <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8;00-4:30 . Phone: (503) 586-5147 · 24-HR Inspection Line: (503} 373~4427 <br /> <br /> IHCOHPLETE SEPTIC APPLICATION <br />DATE/TINE c ~4/29/96 FILE NO : ?5-15675 <br /> <br />OCCUPAHCY : R-3 SP APPLIEO : <br />PAGE : I TO EXPIRE : <br /> <br />~ORK 9ESC ~ SP:STOS FOR HEW B~ELL(REF 95-156~3) <br /> <br />BUTTE ST BT <br /> <br />CITY: DETROIT <br /> <br />APPLICANT = G[LHORE~JPd~ES O~NER : GILNORE~J~HES <br /> A~RESS : 6339 CBAHPTOH OR ADDRESS : 6339 CRAHPTOH DR <br /> : KEIZER OR : KEIZER SIR <br /> <br /> : 97~3 : 773~3 <br /> <br />Before any rev~e#~ field or other~ise~ of your proposed sept£c application can be continued~ <br />the foZioeing marked ~tems of information wast be submitted:. <br /> <br />] Tag (2) test holes must be dug before afield inspect/on can be made (see attached <br /> 'TeSt Nole Requirements'). <br /> <br />E ] <br /> <br />T#o (2)detailed slte plans~ dra~n to Scale amd including ali data as highlighted <br />on the attached~ "~nstructions for Preparation of a Site Plan'. <br /> <br />A current (stamped by the Assessor #ithinlthe past six months) Narion County Assessor <br />~ap of the property. This may be obtained a~the Harlon county AsSessor Off[ce~ <br />Hap Rooe~ Fifth F~oor~ Franklin Building~ 495 ~cate Street~ Salem. <br /> <br />The existing septic tank must be pu~ped by a ~Eg licensed pumping co~tractor and <br />verification of pumping submitted to thisoffice (see attached 'Pumper Fore'). <br /> <br />Orainfields must be staked according tO the a~cached~ "Stakeout Procedure Guidelines." <br /> <br />Easements must be previeued and approvedby this office prior to recording. A <br />copy of the recorded easement must be submitted prior to permit issuance. <br /> <br />r <br /> <br />] The septic tank must be abandoned amd the attached~ "Septic Tank Abandonment' <br /> lorn submitted prior to permit issuance; <br /> <br />£ ] The #eli. must be abandoned and the attached, "~ell Abandonment' fora submitted. <br /> <br />[ ] T#O (2) detailed plans for the construction of a Sand Filter System must be <br /> submitted (see attached). <br /> <br />This application #ill remain in the revieu process until e9/2511~76 pending sub,ittal <br />of the above. At that time~ the application eiil expire andfees will be forfeited. <br />~f there are a~y question~ please do not hesitate tO call. OUr office hours are <br />~onday through Friday, 8:ee AN - 4:3a PN. : <br /> <br /> <br />