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Marion County <br /> Certificate of Satisfactory Completion 5155 Silverton Rd NE <br /> Salem, OR 97305 <br /> c <br /> Marion Alteration (Minor) - Residential - New 503-588-5147 <br /> Building@co.marion.or.us <br /> o:R E c ,o N 555-20-008409-PRMT-01 Website:co.marion.or.us <br /> amu' <br /> Da� s ertfiicate�isu��e acv'41411 icrlptlorl� �F RE ,PRl A ES A�.0 AL 3BD E'PLB+ • <br /> BC RM•"R NE•"� S <br /> p1TROL P �. „z �. ..a � ;�...Y x flk .i:•. .,.. �_�.-.'��`_.."c. <br /> Applicant: LARSON,LEIF <br /> Address: PO BOX 516 <br /> GATES OR 97346 <br /> Phone: 760-485-0823 <br /> Owner: LARSON,LEIF Property Address: 624 W Central Ave, Gates, OR 97346 <br /> Address: PO BOX 516 <br /> GATES OR 97346 <br /> Parcel:093E27DC00300-Primary <br /> Lot Size: 1.07 Water Supply: Community Water Supply <br /> Zoning: N/A City/County/UGB: N/A <br /> Land Use Approval: N/A <br /> Category of Construction: Single Family Dwelling <br /> atm, R h <br /> ,;s:k .R+�i.'a«u"d�%� � � ��. .. `�_._. ....,... -�• �..: _ __ .',`a a�,'�,„..a�s�«"�Sax,,... kk+__� as �� <br /> Use of Structure: N/A SFD <br /> Number of Bedrooms: 3 3 <br /> System Specifications <br /> Type: Alternative <br /> Max Peak Design Flow: 375 gpd. Proposed Flow: 188 gpd. <br /> Special Tank Requirements: installation of control panel alarm and float,electrical permit and inspection needed <br /> Drain Field Specifications <br /> Drain Field Type: Not Applicable System Distribution Type: N/A <br /> Drainfield Sizing: N/A Distribution Method: Equal <br /> Media Type: Existing system Media Depth: N/A <br /> Special Requirements <br /> Groundwater Type: Not Applicable Groundwater Depth: N/A <br /> 5/13/21:10:46:12AM Page 1 of 2 ONS_OnsiteCSC_pr <br />