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4., . Marion County <br /> ::? Certificate of Satisfactory Completion <br /> 5155 Silverton Rd NE <br /> Marion Salem, OR 97305 <br /> County Repair (Minor) - Residential - New 503-588-5147 <br /> Building@co.marion.or.us <br /> bii,E c b ri 555-23-007173-PRMT Website:co.marion.or.us <br /> • <br /> Ay �i a ai ""'rs�it:`u',f �` <br /> a,� a p;� # k?" a f i �•r xa � tf '� F ; ?�i <br /> -3 +* ?:{ 'd�"'S""",s ,'" 7 t4 I* p#t'd2. F' r ti, `" t,,k a�'a aa.i #1�Y. 5 �m51` 7 . ,� i, ., f <br /> iv i _ "F' i .3 1`,�a S �' �, — T ae�' ar ,x " ��i ik`" g ks `^f�" '' p <br /> ...Sup ,._ " c at x: s, <br /> Applicant: Micah Hozen Primary Contractor: Micah Hozen <br /> Address: 1797 Winston Section Rd Installer License:38988 <br /> Winston OR 97496 Address: 1797 Winston Section Rd <br /> Phone: 5037102565 Winston OR 97496 <br /> Email: micah@newcreationco.net Phone: 5037102565 <br /> Email: micah@newcreationco.net <br /> Owner: HOSFORD,THOMAS M Property Address: 13453 Marlatt Rd S,Jefferson,OR <br /> Address: 13453 MARLATT RD S 97352 <br /> JEFFERSON OR 97352 <br /> Parcel:093W30A 02700-Primary <br /> Lot Size: 0.67 Acres 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 <br /> Use of Structure: 3 bedroom single family 3 bedroom single family <br /> dwelling dwelling <br /> Number of Bedrooms: 3 3 <br /> System Specifications <br /> Type: Tank Only <br /> Max Peak Design Flow: 450 gpd. Proposed Flow: 225 gpd. <br /> Min Septic Tank Volume: 1000 gal. Min Dosing Tank Volume: N/A <br /> Special Tank Requirements: 1000-gallon Willamette Graystone Concrete Tank <br /> Need Tank abandonment form for existing tank <br /> Drain Field Specifications <br /> Drain Field Type: Not Applicable System Distribution Type: N/A <br /> Special Requirements <br /> Other Special Rquirements: 1st d-box and effluent line to be replaced <br /> 9/11/23:3:47:43PM ONS_OnsiteCSCpr <br />