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Marion County <br /> 5155 Silverton Rd NE <br /> 5,1 Salem,OR 97305 <br /> o Septic Permit Phone: 503-588-5147 <br /> • O R E G O N " <br /> Installation Permit - Residential - New <br /> 555-17-005149-PRMT <br /> www.co.marion.or.us Building@co.marion.or.us <br /> Schedule Inspections online at www.buildingpermits.oregon.gov or by calling: 1-888-299-2821 or 541-388-6575 <br /> When calling for an inspection,use IVR Number:555078397719 <br /> ate Tssued 7J27JZ7 Expiration Date 7J27J18 <br /> NtorkDescript<on li NEW <br /> Applicant: ZUIDEMA,JEREMY Primary Contractor:SEE PROPERTY OWNER <br /> Address: 14655 LIBBY LN SE INFORMATION <br /> JEFFERSON OR 97352 Owner(Property): OWNER <br /> Phone: 541-740-1769 <br /> Email: jeremy@jztrucking.com <br /> Owner: ZUIDEMA,JEREMY Property Address: 14655 Libby Ln SE,Jefferson, OR <br /> Address: 14655 LIBBY LN SE 97352 <br /> JEFFERSON OR 97352 <br /> Parcel: - 092W31 01100- Primary <br /> Lot Size: 161.12 Water Supply: Well <br /> Zoning: Not specified City/County/UGB: Not specified <br /> Land Use Approval: Not specified <br /> Category of Construction: Single Family Dwelling <br /> 777, ,. s <br /> Proposed�;�_-.v � �..�.... <br /> Use of Structure: 5 Bedroom Dwelling <br /> Number of Bedrooms: 0 5 <br /> System Specifications - <br /> Type: Standard <br /> Max Peak Design Flow: 525 gpd Proposed Flow: N/A <br /> Min Septic Tank Volume: 1500 gal Min Dosing Tank Volume: - N/A <br /> Special Tank Rqmts: Follow manufacturer's instructions for backfill material and method. <br /> Drain Field Specifications <br /> Drain Field Type: Standard System Distribution Type: Serial <br /> Drainfield Sizing: N/A Distribution Method: Serial <br /> Seepage Bed Specs: Not specified <br /> Media Type: Rock/Pipe Media Depth: N/A <br /> Trench Length: 500 linear ft Rock Above Pipe: 2 in <br /> Total Rock Depth: N/A Rock Below Pipe: 6 in <br /> Max Depth: 26 in Undisturbed Soil BetweenTrenches: _ 8 ft <br /> Min Depth: 24 in Capping Fills-Min Depth of Fill Material: N/A <br /> Special Rqmts: • <br /> Stake Out Reqd: Yes <br /> Groundwater Type: N/A Groundwater Depth: - N/A <br /> Groundwater Interceptor: Yes Groundwater Interceptor Depth: 42 in <br /> CALL BEFORE YOU DIG...IT'S THE LAW <br /> ATrENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.Those rules are set forth by Oregon Administration Rules. You may obtain copies <br /> of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center Is 1-800-332-2344.) <br /> 7/27/17:10:27:21AM Page 1 of 3 C:\myReports/reports//production/01 STANDARD <br /> REPORTS/std_OnsitePermit_v2_pr.rpt <br />