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FOR CITy I~SE ONI4Y I MARION COUNTY BUILDING <br /> <br /> PE~T A~~W <br /> ~7 <br /> <br /> I <br /> <br /> ~ wen ( )~ ( ) <br />CO~CTOR ~O~TION <br /> <br />Auth. A~ Mailing Address Phone No. <br /> <br /> ** Fees include DEQ Su~harge ($30.00) <br /> Sit~ Evaluation, Single Family Dwellin~ f-Lrst lot ......................................................................................................... $320.00 <br /> Site Evalm~on, Single F~nily Dwelling= ea ~,dd! lot ...................................................................................................... 235.00 <br /> Site Evaluation, Commercial, first 1000 gallons .................................................~ ........................................................... 320.00 <br /> Site Evaluation, Commercial 1000 - 5000 gallons .................. ,..., ................... ,..: .................................... 320.00 + $90/500/gal <br /> Site Evalua~on, Rural A~ea Variance .............................................................................................................................. 320.00 <br /> Conslzuction Permit or Commemial Major Repair, first 1000 gallons: <br /> Standanl Sysl~-m ................................................................................................................................. 382.00 <br /> Aerobic System .......... ., ................................ , ................ : ......... , ....................... ,.: ................................ 218.00 <br /> Capping Fill System ..............................: ............................................................................................ 593.00 <br /> Cesspool ............................................................................................................ ~ ................................ 382,00 <br /> Disposal Trench in Saprolite ...... ~ ...... : ............................................................................. ~ .................. 382,00 <br /> Evapotranspimtion-Ab~orption Sysgm ............................................................................................. 218.00 <br /> Gray Water Disposal Sump: ...................................................; ............................................ : ............. 190.00 <br /> Pressure Distn'bution System ............................................................................................................. 553.00 <br /> Redundant System ............................................................................................................................. 382.00 <br /> Sand Filter System, .................................................. : ...................... : .................... ; ............................. 703.00 <br /> Seepage Pit ......................................................................................................................................... 312.00 <br /> Seepage Trench .................................................................................................................................. 382,00 <br /> Steep Slope ......................................................................................................................................... 382.00 <br /> Tile Dewatering System..:.., ............................................................................................................... 550.00 <br /> Constngtion Permit or Commercial Major Repair, over 1000 gallons: <br /> Construction Permit Fee <br /> Conmmrcial Plan Review <br /> 600 gallons - 1000 gallons ............................................................................................................... 133.00 <br /> ! 000 gallons - 2500 gallons ............................................................................................................... 133.00 <br /> Commercial Minor Repair ............................................................................................................................................... 173.00 <br /> Single Family Dwelling, Minor Repair (tank only) ................................................... : ..................................................... 130.00 <br /> Single Family Dwelling, Major Repair (drainfield) ........................................................................................................ 210.00 <br /> Residential or Co~: <br /> Alterations ................ ] ........ i ............................................................................................. : ................ 378.00 <br /> Permit Renewal, Field Visit ............. ~ ....... , ..................................................................................... ;...227.00 <br /> Permit Renewal, No Field Visit ...................................................................................................... ...115.00 <br /> Autl~rization, Field Visit .................................................................................................................. 247.00 <br /> Authorization, No Field Visit ............................................................................................................ 117.00 <br /> Existing System Evaluation .................................................................................................... 247.00 <br /> Annual Evaluation/Alternative System. .................. ~ ........................ ~ ................................................. 247.00 <br /> Annual Evaluation Temporary/Hardship Mobile Home .................................................................... 183.00 <br /> Annual Evaluation, Lin'ge System ............. ,,...,, .............................................................................. 123.00 <br /> ' Pump or Dosing Siphon ........................................ ~, ................................. ' .......................... : ................ 25.00 <br /> Pumper TrUCk Inspection, First Vehicle ......... ~ ........................ ~ ......................................................................................... 67.00 <br /> Pumper Truck/nspection, Ea Additional Vehicle ............................................................................................................. 40.00 <br /> Septic Reinspection Fee .............................................. ~ ...................................................................................................... 25.00 <br /> Septic Inspection for which no fee is specifi~lly indicated .............................................................................................. 40.00/hr <br /> <br />Name of Applicant (PlcascJ~' t)- ~~ '~ ~~ ~~ <br />MC 15-8I Rcv8/95 ...~t' <br /> <br />+ S100/500 gallOns <br /> <br />+ $251500 gallons <br /> <br />+ $25/500 gallons <br /> <br />Pumping Ccrtification Attachc'~: (Y) <br /> <br /> <br />