SESPEXIS - 1370116 - Laserfiche WebLink

Home Browse Search

IFOR CITY USE ONLY Received By: __ _ Zoning Validation: Date: . MARION COUNTY BUILDING INSPECTION COMMUNITY DEVELOPMENT CENTER 285 Church St. NE ~ Room 132 Salem, Oregon 97301 8:00am-4:3Opm Phone $88-5147 24 bF. Inspection Line S88-7904 FAX 588-7948 SITE EVALUATION AND/OR SEPTIC PERMIT APPLICATION 1. LOCATION OF I~STALLATION ' . , .I 8,,- ! U~ of S~'uc~urc No. Employe~ No. Prolm~d No. ~t~W~lt () Spr~ () Lot Width Lot Depth Act~ In'es. Lot Comer Community Well (_~ City ( ) 2. CONTRACTOR INFORMATION Auth. Ageot/Leasee '~ ~ Mailing Address Phone No. / ** Fe~ include DEQ Sur~ha~ (S30.00) Site Evaluation, Single Family Dwelling, first lot ......................................................................................................... $320.00 Site Evaluation, Single Family Dwelling, ea addl lot ...................................................................................................... 235.00 Site Evaluation, Commercial, flint 1000 gallons ............................................................................................................. 320.00 Site Evaluation, commercial 1000,5000 gallons .................................................................................... 320.00 + $90/500/gal Site Evaluation, Rural Area Variance .............................................................................................................................. 320.00 ComUucfion Permit or Commercial Major Repair, first 1000 gallons: Standard System. ...................................................................... 7' ........................................................ 382.00 Aerobic System........~ ............................................................................................ 218.00 Capping Fill System ........................................................................................................................... 593.00 CeSSpOOl .................................... ~ ....................................................................... ; ................................ 382.00 Disposal Tx~mch in Saprolite .............................................................................................................. 382.00 Evapotranspimtion-Absorption System .......................................... 21 $ 00 Gray Water Disposal Sump ...... ; .................................... i ......... : ......................................................... 190.00 Pre~ut~ Distribution System ............................................................................................................. 553.00 Redundant System ............................................................................................................................. 382.00 Sand Filter System ............................................................................................................................. 703.00 Seepage Pit ......................................................................................................................................... 312.00 Seepage Trench .................................................................................................................................. 382.00 Steep Slopo ......................................................................................................................................... 382.00 Tile D~watering System ..................................................................................................................... $$0.00 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 Rqmir ............................................................................................................................................... 173.00 Single Family Dwelling, Minor Repair (rank 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 Sy~wa 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 sSeptic R e inspection Fee ..................................................................................................................................................... 25.00 eptic Inspection for which no fee is specifically indicated .............................................................................................. 40.00/hr Signature of Applicant: MC IS-SI Rev 8/95 Receipt:. $1001500 gallons + S25/500 gallons + $25/500 gallons Total: Test Holes Ready: Tank Puml:~l: Pumping Certification Attached: