SESPNEW - 1457070 - Laserfiche WebLink

Home Browse Search

FOR OFFICE USE ONLY R~ceived By: Zoning Validatiqn Date: MARION COUNTY BUILDING INSPECTION 220 High Stmat NB Salem+ OR 97301 $:00 a.m. - 4:30 pm Phone 588-5147 Code-A.Phone $8g-7904 FAX 58g-7948 SITE EVALUATION AND/OR SEPTICPERMIT J 1. Location of Installation _~_.~q.~/,~ig_ ~ r. ItqI ~'a:l~. ,ICATION 2. Contractor Information propeay Owner0.~. ,t- U~. C& r ~' Mailing ASdmss: Phone No. Auth. Agent/L~asee Mailing Address: Phone No. C~nlr~ctor Business Name & Number Mailing Address: Phone No. DEQ Licensed Contractor & No. Mailing Address: Phone No. 3. Fees Commercial (DSF. Dailv Sewaae Flow) Site Evaluatien~ first 1000 gal. DSF 245.00 20.00 Site Evaluation, ea. addl. 500 ~al. DSF 75.00 20.00/m Construction & Repair Punnits Standard System less than 1000 sal. DSF 245.00 10.00 Standard System more than 1000 F~al. DSF: $245,00 + $15 each addL 500 8al. DSF 10.00 Capping Fill 415.00 10.00 Disposal Trenches in Saprolite 245.00 10.00 Gray Water Waste Disposal Sump 120~00 10.00 Holdins Tank 245.00 10.00 Pressure Distdbntion 350.00 10.00 Redundant System 245.00 10.00 Sand Filter 445,0C/ lO.O0 Seepage Trench i 245.00 10.00 Steep Slope 245.00 10.00 Tile Dewateting System ~ 350.00 10.00 Plan Review >600 gal. DSFt<I001 gal. DSF 100.00 .00 (except SAND (For each additional 500 gal. DSF 25.1)0 .00 Alterations 245,00 10.00 Repalr~ Minor 75.00 10.00 Construction Permit Renewal (Field Visits) 150.00 10.00 Construction Pennlt Renewal (No Field Visits) 85.00 10.00 Existing System Evaluation Report 150.00 10.00 Authotlzation Notice (Field Visio 150.00 10.00 Auth0dzation Notice (No Field Visit) 85.00 10.00 Annual Evaluation of Alternative Systam 150.00 10.130 Annual Evaluation of Larga System 90.00 10.00 Pumper Truck Inspection~ First truck 50.00 .00 Pumper Track Inspection, em addl. tmek 35.00 .00 Other Terk if Applicable to this Application) st Holes are Dug ( ) I will call when Test Holes Dug ~}~! am performing work on a properly I own or occupy ) I am a ~egistered builder or ( ) the authorized representative ) The work will ho performed by a DEQ Lieenaed Innaller ) Other Residential Single Familv $ Site Evaluation~ first lot 245.00 20.00 Site Evaluationt ea. addl. lot 205.00 20.00 Construction permit Standard System 245,00 10.00 Capping Fill 415.00 10.00 Disoosal Trench in Samolile 245,00 10.00 Gray Water Disposal Sump 120.00 10.00 Holding Tank 245.00 10.00 Pressure Distribution 350.00 10.00 Redundant 245.00 10.00 Sand Filter 445.00 10.00 Seepage Trench 245.00 10.00 Steep Slope 245.00 10.00 Tile Dewatefing 350.00 10.00 AItenaion 245.00 10.00 Repalr~ Maior (dralnfield) 115.00 10.00 Repair, Minor (tank) 75.00 10.00 Construction Punnit Renewal (Field Visit) 150.00 10.00 Construction Permit Renewal (No Field Visit} 85.00 10.00 Reinspection Fee 25.00 .00 Authorization Notice (Field Visit) 150.00 10.00 Authorization Notice (No Field Visit) SS.00 10.00 Existing System Evaluation 150.00 10.00 Annual Evaluatie n/AIternntlve System 150.00 ,00 Annual Evaluation/Temp. or Hardship MH 90.00 .00 Rural Area Variance Site Evaluation 245.00 20.00 Total $ ] Receipt No. I agree to install according to the submiUed plans and specifications, the laws of the Slate of Oregon and the o~dinances of Marion County. N~/~ft~E OF APPLICANT~(please print): . ~fi[~TURE -OF APPLICAb~: DATE: MC 15-SI REV 2/93