SESPNEW - 1356582 - Laserfiche WebLink

Home Browse Search

Receiv. e6 By: Z~ning Validation: Date: , ~ FOR CITY USE ONLY MARION COUNTY BUILDING INSPECTION COMMUNITY DEVELOPMENT CENTER 285 Church St. NE - Room 132 Salem, Oregon 97301 8:00am-4:30pm Phone 588-$147 24 hr. Inspection Line 588-7904 FAX 588-7948 SITE EVALUATION AND/OR SEPTIC PERMIT APPLICATION LOCATION OF INSTALLATION Phone ~_o..s-os .. ~-sv-~, 30 ~/r? ~ q. zqcc Subdivision ~ ~ ~ ~ ~ { c, ~ ~ ~ Lot / Block ~ No. Employes Ex~ting No. ~s~ No. B~ B~ma Pfiva~ Well ~ Spring ( ) ~t Wid~ ~t D~ Ac~s I~g. ~t Coroer Com~i~ Well ( ) Ci~ ( ) 2. CONT~CTOR INFO~TION Property Owner Mailing Address Phone No. Auth. Agent/Leasee Mailing Address Phone No. Contractor Business Name & Number Mailing Address Phone No. 3. FEES ~,* ~ Fees include DEQ Surcharge ($30.00) e Evaluation, Single Family Dwelling, first lot ......................................................................................................... $320.00 S~te Evaluation, Single Family Dwelling, ea addl lot ...................................................................................................... 235.00 Site Evaluation, Commercial, first 1000 gallons ............................................................................................................. 320.00 Site Evaluation, Commercial 1000 - 5000 gallons .................................................................................... 320.00 + $90/500/gal Site Evaluation, Rural Area Variance .............................................................................................................................. 320.00 Construction Permit or Commercial Major Repair, first 1000 gallons: Standard System ................................................................................................................................. 382.00 Aerobic System .................................................................................................................................. 218.00 Capping Fill System ........................................................................................................................... 593.00 Cesspool ............................................................................................................................................. 382.00 Disposal Trench in Saprolite .............................................................................................................. 382.00 Evapotranspiration-Ahsorption System ............................................................................................. 218.00 Gray Water Disposal Sump ............................................................................................................... 190.00 Pressure Distribution System ............................................................................................................. 553.00 Redundant System ............................................................................................................................. 382.00 Sand Filter System ............................................................................................................................. 703.00 Seepage Pit ......................................................................................................................................... 312.00 Seepage Trench .................................................................................................................................. 382.00 Steep Slope ......................................................................................................................................... 382.00 Tile Dewatering System ..................................................................................................................... 550.00 Construction Permit or Commercial Major Repair, over 1000 gallons: Construction Permit Fee Commercial Plan Review 600 gallons - 1000 gallons ............................................................................................................... 133.00 1000 gallons ~ 2500 gallons ............................................................................................................... 133.00 Commercial Minor Repair ............................................................................................................................................... 173.00 Single Family Dwelling, Minor Repair (tank only) ......................................................................................................... 130.00 Single Family Dwelling, Major Repair (drainfield) ........................................................................................................ 210.00 Residential or Commercial: Alterations .......................................................................................................................................... 378.00 Permit Renewal, Field Visit ............................................................................................................... 227.00 Permit Renewal, No Field Visit ......................................................................................................... 115.00 Authorization, Field Visit .................................................................................................................. 247.00 Authorization, No Field Visit ............................................................................................................ 117.00 Existing System Evaluation ............................................................................................................... 247.00 Annual Evaluation/Alternative System .............................................................................................. 247.00 Annual Evaluation Temporary/Hardship Mobile Home .................................................................... 183.00 Annual Evaluation, Large System ..................................................................................................... 123.00 Pump or Dosing Siphon ....................................................................................................................... 25.00 Pumper Truck Inspection, First Vehicle ............................................................................................................................ 67.00 Pumper Truck Inspection, Ea Additional Vehicle ............................................................................................................. 40.00 Septic Reinspection Fee ..................................................................................................................................................... 25.00 Septic Inspection for which no fee is specifically indicated .............................................................................................. 40.00/hr + $100/500 gallons + $25/500 gallons + $25/500 gallons $ Name of Applicant (Please Print): MC 15-SI Rev 8/95 Date: Receipt: q ~ I C- '~/(,,., Total: Test Holes Ready: ~ - 15'-e[09 Date Tank Pumped: Date Pumping Certification Attached: (Y) (N)