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Marion County Building Inspection 555 Court St.N.E.,Room 2260,PO Box-14500 Salem,Oregon 97309-5036 Office Hours: 8:00-4:30 Phone: (503)588-5147 Inspection Line: (503)373-4427 Check your Permit Status On Line at:http://publicworks.co.marion.or.us/building/ NEW INSTALLATION SEPTIC PERMIT DATE: 01-30-2008 TYPE: NEW PERMIT NO: 08-00246 OFFICE: MC USE: R STATUS: ISSUED MAP: ISSUED: 01/30/2008 SITE: EXPIRES: 1/29/2009 ZONE: ,�XPIee b j e)31:7 4Ja) U owe_ WORK DESC: INSTALL: SANDFILTER-PARCEL 2 OF 3- 2 ACRE 4BDRM RES P05-36 ? --UU S-2•71. SITE ADDRESS: 14530 NIKITA LN NE SI PARCEL: 061W25C 01001 APPLICANT: ANFILOFIEFF, SAM & ANNA ANFILOFIEFF, SAM & ANNA ADDRESS: 29855 S HWY 213 29855 S HWY 213 MOLALLA OR 97038 97038 PHONE: 503-504-2314 OWNER: ANFILOFIEFF, SAM & ANNA ANFILOFIEFF, SAM & ANNA ADDRESS: 29855 S. HWY 213 • MOLALLA OR 97038 • PHONE: 503-504-2314 503-504-2314 OCCUPANT: ANFILOFIEFF, SAM & ANNA ' INSTALLER: LICENSE NO: ADDRESS: PHONE: Description Fee Units Description Fee Constructin Permit: $950.00 Other Inspection Hrs: $0.00 DEQ Surcharge: $40.00 Reinspecion Hrs: $0.00 Misc/Copy Fee:. $0.00 • Total Assessed Fees: $990.00 Adjustments: $0.00 Total Fees: $990.00 Total Payments: $990.00 Balance Due: $0.00 THIS PERMIT EXPIRES 365 DAYS FROM THE ISSUE DATE IF WORK HAS NOT COMMENCED OR IS WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES, AND IS NON-REFUNDABLE. - SIGNATURE OF APPLICANT: X This property was previously evaluated 01/30/2008 for the feasibility to install a septic system. Based on the results of this study, site evaluation approval is granted. The approval is site specific to the area tested, and the septic system must be located in the immediate area of the test pits, unless otherwise authorized by this office. A new site evaluation may be required if the system is proposed for a different area on the property. This approval is given on the basis that the lot or parcel will not be further partitioned or subdivided and that conditions on this property and on adjacent properties are not altered in any manner which would prohibit the issuance of a permit. Soils in the approved area shall not be altered or modified by cutting, filling, or. other developmental activities which would impede the successful operation of the initial or replacement soil absorption systems. Failure to comply with the above items may void this approval. This permit is issued only to the owner or easement holder of the land on which the system is to be installed, or to a person licensed under ORS 454.695. The transfer of this permit from the original permittee to another may be granted if an application for a permit transfer is made prior to the original permit expiration date, and no other changes to the permit are necessary. WARREN D.JACKSON,MARION COUNTY BUILDING OFFICIAL/BY C CALL BEFORE YOU DIG...IT'S THE LAW. ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.Those rules are set forth by Oregon Administrat-q-Rules.You may obtain copies of the rules by calling the center. (Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344).