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Marion County
<br /> Certificate of Satisfactory Completion 5155 Silverton Rd NE
<br /> Salem, OR 97305
<br /> �lariran"'
<br /> co Installation Permit - Residential - New 503-588-5147
<br /> Building@co.marion.or.us
<br /> o:.x.E:G o'N 555-17-005149-PRMT Website: co.marion.or.us
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<br /> Applicant: ZUIDEMA,JEREMY Primary Contractor:SEE PROPERTY OWNER
<br /> Address: 14655 LIBBY LN SE INFORMATION
<br /> JEFFERSON OR 97352 Owner(Property):OWNER
<br /> Phone: 541-740-1769
<br /> Email: jeremy@jztrucking.com
<br /> Owner: ZUIDEMA,JEREMY Property Address: 14655 Libby Ln SE,Jefferson, OR
<br /> Address: 14655 LIBBY LN SE 97352
<br /> JEFFERSON OR 97352
<br /> Parcel: 092W31 01100-Primary
<br /> Lot Size: 161.12 Water Supply: Well
<br /> Zoning: N/A City/County/UGB: N/A
<br /> Land Use Approval: N/A
<br /> Category of Construction: Single Family Dwelling
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<br /> Use of Structure: N/A 5 Bedroom Dwelling
<br /> Number of Bedrooms: 0 5
<br /> System Specifications
<br /> Type: Standard
<br /> Max Peak Design Flow: 525 gpd. Proposed Flow: N/A
<br /> Min Septic Tank Volume: 1500 gal. Min Dosing Tank Volume: N/A
<br /> Special Tank Requirements: Follow manufacturer's instructions for backfill material and method.
<br /> Drain Field Specifications
<br /> Drain Field Type: Standard System Distribution Type: Serial
<br /> Drainfield Sizing: N/A Distribution Method: Serial
<br /> Media Type: Rock/Pipe Media Depth: N/A
<br /> Trench Length: 500 linear ft. Rock Above Pipe: 2 in.
<br /> Total Rock Depth: N/A Rock Below Pipe: 6 in.
<br /> Max Depth: 26 in. Undisturbed Soil BetweenTrenches: 8 ft.
<br /> Min Depth: 24 in. Capping Fills-Min Depth of Fill Material: N/A
<br /> Special Requirements
<br /> Groundwater Interceptor: Yes Groundwater Interceptor Depth: 42 in.
<br /> Groundwater Interceptor Amt of Drain Media: 30 in.
<br /> Other Special Rquirements: Minimum disposal field size is 438 LF. Applicant's plan specifies 500 LF.
<br /> 3/13/19:9:55:57AM Page 1 of 3 ONS_OnsiteCSC_pi-
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