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· ] FOR CITY USE ONLY IZofiing Validation: [Date: MARIONco--COUNTY285 C~urchDEVELOPMENTBUILDINGst. lqE - Room CENTER132IN SPECTION ~/~ (~' ~/~ c-~,... 8:00~m-4:~)pm Phone ~S147~ ~,~ 2 24 hr. Inspection Line S88-7904 A~AR/ON COU SITE EV~UATION ~/OR SEPTIC PE~T APPLICATI TIO~ 1. L~A~ON OF ~ST~LA~ON ~, ~. ~7~ ' T~ A~ No ~ ~'~ /~ 'Subdivision 2. CONTRACTOR INFORMATION ILot Block I::_ Wa~r Supply: ~v~W~ll 00 s~i~s ¢ ) CommunityW~ ( ) City ( ) 3. RES ** F~s inolud~ DEQ Sumharg~ ($30.00) Site Evaluation, Single Family Dwelling, first lot ......................................................................................................... $320.00 Site Evaluation, Single Family Dwelling; ea addl lot ...................................................................................................... 235.00 Site Evaluation, ~, fast I000 gallons ............................................................................................................. 320.00 Site Evaluation, Commer/:ial 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 Trcn~h in Saprolite .............................................................................................................. 382.00 Evapotranspiration-Absorption System ............................................................................................. 218,00 Gray Water Disposal Sump ............................................................................................................... 190.00 Pressure DisUibution System ............................................................................................................. 553,00 Redundant System ............................................................................................................................. 382,00 Sand Filter System ............................................................................................................................. 703.00 Seepage Pit ........................................................................................................................................ 312.00 Seepage Trcnch .................................................................................................................................. 382.00 Steep Slope ......................................................................................................................................... 382.00 Tile Dewatering System ..................................................................................................................... 550.00 Consmmtion Permit or Commercial Major Repair, over 1000 gallons: Construction Permit Fee Commercial Plan R~iew 600 gallons - 1000 gallons ............................................................................................................... 133.00 1000 gallons - 2500 gallons ............................................................................................................... 133.00 Comm~ial Minor Repair ............................................................................................................................................... i 73.00 Single Fmnily Dwelling, Minor Repair (tank only) ......................................................................................................... 130.00 Single Fmnily Dwelling, Major Repair (dralnfield) ........................................................................................................ 210.00 Residenti~ or Commercial: Alten~tions .......................................................................................................................................... 378.00 Permit Rcmewal, Field Visit..: ............................................................................................................ 227.00 Permit R~-wal, No Field Visit ...................................................................................................... ... 115.00 Authorization, Field Visit .................................................................................................................. 247.00 Authorization, No Field Visit ............................................................................................................ 117.00 Existing System Evaluation ............................................................................................................... 247.00 Annual Ev~lU~tion/Altenmtive System .............................................................................................. 247.00 Annual Evaluation Temper~-y/Hardship Mobile Home .................................................................... 183.00 Annual Evaluation, Lin-ge System ..................................................................................................... 123.00 · Pump or Dosing Siphon ......... ; ............................................................................................................. 25.00 Pumper Truck Inspection, First Vehicle ............................................................................................................................ 67.00 Pumper Truck Inspection' E~ Additional Vehicle ............................................................................................................. 40.00 Septic Reinspection Fee ..................................................................................................................................................... 25.00 Septic Inspection for which no fee is specifically indicated .............................................................................................. 40.00/hr + $1001500 gallons + $251500 gallons + $251500 gallons MC 15-51 Rm, 8/95 Date: Receipt: xo~: 382,00 Test Holes Ready: D~ Tank Pumped: Dam Pumping Certification Attached: (Y) (N)