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'~'".~-l~ . J . COMMUNITy DEVELOPMENT CENTER <br /> <br /> " ~ ~ I {~ Salem, Oregon 97301 <br />Zoning Validatioa: ~ t I 8:00am-4:30pm Phone588-5147 . ,. , .. <br />~.e: ..... ~., I ~'ax sss-~94s '1~-I ~ ~ ~AR~0N COUNTY <br /> SITE EVALUATION AND/OR S~PTIC PERMIT APPLICATION BUILDING iNSPECTION <br />1. LOCATION OF INSTALLATION <br /> <br />......... ¢~ ~ , <br />3. <br /> <br /> Site Evaluation, Single Family Dwelling, first lot ......................................................................................................... $325,00 <br /> Sit* Evaluation, Single Family Dwelling, ea addl Iot ....................................... ............................................................... 240.00 <br /> Site Evaluation, Commercial, first 1000 gallons .............................................. ,, .............................................................. 325.00 <br /> Sit* E~valnation, Comm*r¢ial 1000 - 5000 gallons .......................................................................................................... 325.00 <br /> Site Evaluation, Rural Area Variance ............................................................... ~ .............................................................. 325.00 <br /> Constalction Permit or Commercial Major Repair, first 1000 gallons: <br /> Standard System ................................................................................................................................. 38'7,011 <br /> Aerobic System .................................................................................................................................. 223.00 <br /> <br /> Cesspool ............................................................................................................................................. 387,00 <br /> Disposal 't'reneh ir, Supralife ............................................... 2 .............................................................. 357.00 <br /> <br /> Holding Tank (Commemial only) ...................................................................................................... 387,00 <br /> ~esaum Distribution System ............................................................................................................. 555.0,0 <br /> <br /> gami Filter System ............................................................................................................................. '708.00 <br /> Seepage Fit ..~ .................................................................................................................................... 317.00 <br /> S~epage Trough .................................................................... L.,...2 ..................................................... 35'7 <br /> Steep Slope ........................................................................... : ............................................................. 3 ft7.00 <br /> Tile Dewat~ting System ..................................................................................................................... 555.00 <br /> Construction Permit or Commercial Major Rapair, over i000 gallons: <br /> Construction permit Fee <br /> CommerCial Plan Review <br /> 600 gallons - 1000 gallons ............................................................................................................... 133.00 <br /> I000 gallons - 5000 gallons .................................................. ¢ ............................................................ 133.00 <br /> <br /> Single Family Dw¢lllng, Minor Repair (tank only) ..................................................................... 35 00 <br /> Single Family Dwalling, Major Repa r (des nfield) ..................................... } ............................................................ 215,~ <br /> Residential or Comm~,mlaI: <br /> <br /> P~zmit R~newaI, NO lai~ld Visit ............................................. ............................................................ 120.00 <br /> Authorization, Field Visit .................................................................................................................. 2~2.00 <br /> Anthofizalion, No Fled ¥isit ............................................................................................................ 122.00 <br /> Existing gyst*m Evaluation ............................................................................................................... 25Z00 <br /> <br /> A~nual Evaluation Teraporary/l-lard sllip Mobile Home ........................................................... 188.00 <br /> Annual Evaluation, Latg~ System ..................................................................................................... 12~,00 <br /> Pump or Dosing Siphon ....................................................................................................................... 25,00 <br /> <br />Septic Reinsp~ctlon Fe¢,,,~ ................................................................................................................. 25 O0 <br /> <br />+ $100/500 gallons <br /> <br />+ $25/$00 gallons <br />+ $25/500 gallons <br /> <br />Signature of Applicant~ ~ <br /> <br />Pumping Certification At~ached,. (y) (N) <br /> <br /> <br />