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a �v Marion County <br /> 5155 Silverton Rd NE <br /> Marron . Septic Permit Salem,OR 97305 <br /> p County 503-588-5147 <br /> OBEGO;N <br /> Repair (Minor) - Residential - New Building@co.marion.or.us <br /> Website:co.marion.or.us <br /> 555-23-007173—PRMT <br /> Schedule or track inspections at www.buildingpermits.oregon.gov <br /> Call or text the word "schedule"to 1-888-299-2821 use IVR Number:555006195174 <br /> Schedule using the Oregon ePermitting Inspection App,search"epermitting"in the app store <br /> Date Issued 8I3012 A Rbe ,` F _ xp�rat�on date 8t29f24 <br /> 'i 3. ^��F4 r 4 g s i <br /> , f n �ks�" � 1 <br /> Worl4 �cri Lion MI F 3 BDRM SFD r ��, iif, xis k' n Z° I , V s it <br /> ...._«_... . w, .. .,...,,. <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 /> Business License: N/A <br /> Owner: HOSFORD,THOMAS M Property address: 13453 Marlatt Rd S,Jefferson, OR 97352 <br /> Address: 13453 MARLATT RD S <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 County: N/A <br /> Action: New Type of application: Repair(Minor)-Residential <br /> System failing: N/A Septic tank last pumped: N/A <br /> Comments: N/A <br /> Category of construction: Single Family Dwelling <br /> Use of structure: 3 bedroom single family dwelling 3 bedroom single family dwelling <br /> Number of bedrooms: 3 3 <br /> System Specifications <br /> Type: Tank Only ATT description: N/A <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 rqmts: 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 Ttpe: N/A <br /> Special Requirements <br /> Other special rqmt: 1st d-box and effluent line to be replaced <br /> Conditions of approval <br /> CALL BEFORE YOU DIG...mS THE LAW <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon <br /> Administration Rules. You may obtain copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility <br /> Notification Center is 1-800-332-2344.) <br /> 8/30/23:8:45:44AM ONS_OnsitePermit pr <br />