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.~: i ' MARION COUNTY BUILDING INSPECTION <br />· I- Cl ONLY I <br /> I t~, ~. I I . ~ - ~l CO~ DEVE~PMENT C~ <br /> IReceiv~By: g~ ) 285Ch~chSt.~ - R~m 132 <br /> [ ..... _ ..... ~ _~ I 'l~ S~em,~gon97301 <br /> I 8:~am~:3OpmPhone$8~5147 <br /> . ~ ~ ] ] 24 hr. Insp~flon Line 5~-79~ <br /> <br /> SITE EVALUATION AND/Off SEPTIC PE~IT APPLI~OI~ L ~7 <br /> 1. LOCA~ON OF ~ST~LATION <br /> <br />Sulntivision Lot BI No. Employ*es <br /> ~vam Well ( ) Spring ( ) <br /> <br />2. CONTRACTOR INFORMATION <br />Au~. Ag~asee ~iling Ad.ess Phone No. <br /> <br />3. FEES <br /> <br />** Fees include DEQ Stneharge ($30.00) <br />Site Evaluation, Single Family Dwelling, first lot ......................................................................................................... $320.00 <br />Site Evaluation, Single Family Dwelling, ea addl lot ...................................................................................................... 235.00 <br />Site Evaluation, Commercial, first 1000 ga OhS .............................................................. 320 00 <br />Site Evaluation, Commercial 1000 - 5000 gallons .................................................................................... 320.00 + $90/500/gal <br />Site Evaluation, Rural Area Variance .............................................................................................................................. 320.00 <br />Construction Permit or Commercial Major Repair, first 1000 gallons: <br /> Standard System ................................................................................................................................. 382.00 <br /> Aerobic System .................................................................................................................................. 218.00 <br /> Capping Fill System ........................................................................................................................... 593.00 <br /> Cesspool ............................................................................................................................................. 382.00 <br /> Disposal Trench in Saprolite .............................................................................................................. 382.00 <br /> Evapotranspirafion-Ab sorption System ............................................................................................. 218.00 <br /> Gray Water Disposal Sump ............................................................................................................... 190.00 <br /> Pressure Distribution System ............................................................................................................. 553.00 <br /> Redundant System ............................................................................................................................. 382.00 <br /> Sand Filter System ............................................................................................................................. 703.00 <br /> Seepage Pit ......................................................................................................................................... 312.00 <br /> Seepage Trench .................................................................................................................................. 382.00 <br /> Steep Slope ......................................................................................................................................... 382.00 <br /> Tile Dewatering System ..................................................................................................................... 550.00 <br />Construction Permit or Commercial Major Repair, over 1000 gallons: <br /> Consixucfion Permit Fee <br />Commercial Plan Review <br /> 600 gallons - 1000 gallons ............................................................................................................... 133.00 <br /> 1000 gallons - 2500 gallons ............................................................................................................... 133.00 <br />Commercial Minor Repair ............................................................................................................................................... 173.00 <br />Single Family Dwelling, Minor Repair (rank only) ......................................................................................................... 130.00 <br />Single Family Dwelling, Major Repair (dralnfield) ........................................................................................................ 210.00 <br />Residential or Commercial: <br /> Alterations .......................................................................................................................................... 378.00 <br /> Permit Renewal, Field Visit ............................................................................................................... 227.00 <br /> Permit Renewal, No Field Visit .... . .....................115 00 <br /> Authorization Field Visit ........................................................... 247 00 <br /> Authorization, bio Field Visit ............................................................................................................ 117.00 <br /> Existing System Evaluation ............................................................................................................... 247.00 <br /> Annual Evaluation/Alternative System ............................................... 247 00 <br /> Annual Evaluation Temporary/Hardship Mobile Home ................................................... 183.00 <br /> Annual Evaluation, Large System ..................................................................................................... 123.00 <br /> Pump or Dosing Siphon ....................................................................................................................... 25.00 <br />Pumper Truck Inspection, First Vehicle ............................................................................................................................ 67.00 <br />Pumper Truck Inspection, Ea Additional Veh c e ...................................................... 40.00 <br />Septic Ralnspocfion Fee ................................................................................................................................................... 25 00 <br />Septic Inspoefion f~r wh eh no fee s specifically indicated .............................................................................................. 40.00/hr <br /> <br />+ $1001500 gallons <br /> <br />+ 525/500 gallons <br />+ $25/500 gallons <br /> <br /> Total: 301, O. O0 <br />Test Holes Ready: (~ ~' ~k q- 9~ <br /> <br />Pumping Certification Atteehed: (y) (lq) <br /> <br /> <br />