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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room 132 *Selem, Oregon 97301-3670 <br />Office Houri: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inlpectlon Line: (503) 373-4427 <br /> <br /> )NCOHPIFTE SFPTTC APPLICATION <br />OATE/TTNE : 64/29/?6 FILE NO : 96-~1845 <br />TYPF : Septic Permit SE APPLIED : <br />OCCUPANCY = R-3 SP APPLIED : 82/28/1996 <br />PACF : J TO EXPIRE : 18/22/1996 <br /> <br />WORK PF'SC = AUTH/i~IRPR ADD PHP TANK <br /> <br />SITE ADDRESS = 9463 GOI.F CLUB RD SE AH <br /> <br />CITY= HARMON COUNTY <br /> <br />APPLICAHT <br />ADDR£SS <br /> <br />DEHNY, KEVIN <br />9463 GOLF CLUB RD SE <br />AI.~VTLLE OREGON <br /> <br /> 97325 <br /> <br />OWNER = DENHY, KEVIH <br /> ADDRESS = 9463 GOLF CLUB RD SE <br /> = AUHS¥ILLE OREGOH <br /> <br /> 97325 <br /> <br />Before any review, field or otherwise, of your proposed septic application can be continued~ <br />the fo]]o#ing marked items of information must be submitted= <br /> <br />] T~o (2) test holes must be dug before a field inspection can be made (see attached <br /> 'Test Hole Requirements'). <br /> <br />Two (2) detailed site plans, drawn to scale and including all data as highlighted <br />on the attached, "Instructions for Preparation of a Site Plan". <br /> <br />£ <br /> <br />A current (stamped by the Assessor within the past six months) Harion County Assessor <br />map of the property. This may be obtained at the Marion County Assessor Office, <br />Hap Room~ Fifth Floor, Franklin Building, 495 State Street, Salem. <br /> <br />The existing septic tank must be pumped by a OEO licensed pumping contractor and <br />verification of pumping submitted to this office (see attached "Pumper Form"). <br /> <br />£ ] Drainfie]ds must be staked according to the attached, "Stakeout Procedure Guidelines." <br /> <br />3 Easements must be previewed and approved by this office prior to recording. A <br /> copy of the recorded easement must be submitted prior to permit issuance. <br /> <br />The septic tank must be abandoned and the attached, 'Septic Tank Abandonment" <br />form submitted prior to permit issuance. <br /> <br />3 Two (2) detailed plans for the construction of a Wand Filter Eyatee must be <br /> submitted (see attached). <br /> <br />£ ] Other <br /> <br />This application will remain in the review process until lS/22/1996 pending submittal <br />of the above. At that time~ the application will expire and fees will be forfeited. <br />If there are any questions, please do not hesitate to call. Our office hours are <br />Honday through Friday, 8~& AH - 4=3& PM. <br /> <br />PONAI~ £ WODDLEY, BUILDING OFFICIAL BY / DFREILIN~ <br /> <br /> <br />