SESPNEW - 1464821 - Laserfiche WebLink

Home Browse Search

FOR CITY USE ONLY Received By: __ Zoning Validation: Dat~: MARION COUNT~ BUILDING INSPECTION COMMUNrYY DEVELOPMENT CENTER 285 ChamhSt. NE - Room 132 Salem, Oregon 97301 8:~0am-4:30pm Phone $88-5147 24 hr. Inspection Line 373.4427 FAX 588-7948 SITE EVALUATION AND/OR SEPTIC PERMIT APPLICATION 1. LOCATION OF INSTALLATION 2. CONTRACTOR INFORMATION Prope~ Owner ~iliag Ad~s ~ AU*. Ag~ ~ ~ ~ ~o~ ~ Mai~ng Ad~s f ~one NO. C~c~B~i~N~e&Num~ ~Y&~ ~ ~l~b~$~ ~oncNo. 3. ~ES qlgo 2~oo ** Fees include DI~Q Surcharge ($30.~0) Site Evaluation, Single Family Dwelling, first lot ......................................................................................................... $320.00 Site Evaluation, Single Family Dwelling, ea addl lot .................................................... : ................................................. 235.00 Si~e Evaluation, Commercial, first 1000 gallons ............................................................................................................. 320.00 Site Evaluation, Commercial 1000 - 5000 gallons .................................................................................... 320.00 + $90/500/gal Site Evaluation, Rural Area Vmiance ................. ~ ............................................................................................................ 320.00 Consmiction Permit or Commercial Major Repair, first 1000 gallons: Standard System ................................................................................................................................. 382.00 Aerobic System .................................................................................................................................. 218.00 Capping Fill System ........................................................................................................................... 593.00 Cesspool ............................................................................................................................................. 382.00 Disposal Trench in Saprolite .............................................................................................................. 382.00 Evapotranspirafion-Absorption System ............................................................................................. 218.00 Gray Water Disposal Sump ............................................................................................................... 190.00 Pressure Distribution System ............................................................................................................. 550.00 Redundant System ............................................................................................................................. 382.00 Sand Filter System ............................................................................................................................. 703.00 SeelmgO Pit ......................................................................................................................................... 312.C0 Seepage Trench .................................................................................................................................. 382.00 Steep Slope ......................................................................................................................................... 382,00 Tile Dewatering System ..................................................................................................................... 550.00 Construction Permit or Commercial Major Repair, over 1000 gallons: Constxuction Pea'mit Fee Commercial PMa R~view 600 gallons - 1000 gallons ............................................................................................................... 133.00 1000 gallons - 2500 gallons ............................................................................................................... 133.00 Commercial Minor Repair ............................................................................................................................................... 173.00 Single Family Dwelling, Minor Repair (tank only) ......................................................................................................... 130.00 Single Family Dwelling, Major Repair (dralnfield) ........................................................................................................ 210.00 Residential or Commercial: Alterations .......................................................................................................................................... 378.00 Permit Renewal, Field Visit ............................................................................................................... 227.00 Permit Renewal, No Field Visit ......................................................................................................... 115.00 Authorization, Field Visit .................................................................................................................. 247,00 Authorization, No Field Visit ............................................................................................................ 117.00 Existing System Evaluation ............................................................................................................... 247,00 Annual Evaluation/Alternative System .............................................................................................. 247,00 Annual Evaluation Temporary/Hardship Mobile Home .................................................................... 183.00 Annual Evaluation, Large System ..................................................................................................... 123.00 Pump or Dosing Siphon ....................................................................................................................... 25.00 Pumper Truck Inspection, First Vehicle ............................................................................................................................ 67.00 Pumper Truck Inspection, Ea Additional Vehicle ............................................................................................................. 40.00 Septic Reinspecfion Fee ..................................................................................................................................................... 25,00 Septic Inspection for which no fee is specifically indicated .............................................................................................. 40.00/hr + $100/500gallons + $25/500 gallons + $25/500 gallons Total: 102S pO Test Holes Ready: 3 - I - ~ 7 Datz Tank Pumped: Dm Pumping Certification Attached: (Y) (N)