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~ATE/TIME <br />TYPE <br />OCCUPANCY <br />PAGE <br /> <br />WORK DES[: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 28~ChumhStreetNE · R~m 132-S~lem, Oregon 97301-3670 <br /> OffloeHeu~:8;00-4:30- ph~te;(5~3)~8~5147-24-HRInspection Line: ~)~ <br /> ~NCOMPLETE SEPTIC RPPL~CAT~OH <br />~4/17/9& F~LE NO : 95-1~7Y5 <br /> <br />Septic Per~i~ SE APPLIED : <br /> <br />R-~ SP APPLIED = e6/29/1995 <br />1 Tg EXPIRE : 12/26/i995 <br /> <br />: SP:SEEPAgE TR FOR 2AR NH <br /> <br />185 N BUTTE ST DT <br /> <br />CITY: <br /> <br />ADDRESS : 43~3 SE Z~GTH ADDR£SS: 4393 ~E 66TH <br /> : PORTU~ID OR ; pORTLAND OR <br /> <br />972~6 <br /> <br />;'; ~efore'. ;ny revie#, field or other#ism, of your proposed septic application can be cootinued~ <br /> ~h'e following marked items of infor~ation must be submitted: <br /> <br />~[ 3 Two (2) test helms oust be da9 before a field Inspection can be made (see attached <br />.:, "Test Hole Requirements"). <br /> <br />T.o (2) detailed site plans, dra~n to scale 'and including all data as highlighted <br /> the attached, 'instructions for Preparation of a Site Plan'. <br /> <br />A current (stamped by the Assessor #ithin the past six munths) Harion County AeseseOr <br />map of the property. This may be obtained at the Marian County Assessor Office~ <br />Nap RO0~ Fifth Floor, Franklin.Buiidi~g~ 495 5~ate street~ Salem. <br /> <br /> 3 The existi.ng septic tank must be pumped, by a D6g li'censed pu~ping contractor and <br /> · verification of pumping submitted'to this office (see attached "Pumper Fora"). <br />Drainfields must be staked according to the attached, =Stakeout Procedure Guidelines." <br /> <br /> · E. ] Easements must be prevle~ed and appr~d by this office prior to recording. A copy of the r~orded easeaent must be ~ubai~ed prior to permit issuance. <br /> <br />] The septic tank must be abandoned and t11e attached~ 'Septic Tank Abandonment" <br /> fora .,submitted prior to permit ~ssuance. <br /> <br />The ~ell must be abandoned arid the attached~ "llell Abandonment" form submitted. <br /> <br />T,o (2) detailed plans for the construction of a Sand Filter System must be <br />~ubeitted (see at,cached). <br /> <br />Other <br /> <br />This application ~f11 remain in the reuiea process until 12/26/]995 pending submittal <br />Of the above. At that tiae~ the applicatiun will expire and fees ~ill be forfeited. <br />If there are any questions+ please do not hesitate to call. Our office hours are <br />Monday through Friday~ <br /> <br />DONALD g WOO~EY~ 8U/LDZNG OFFICIAL RY / DFREILIfl <br /> <br /> <br />