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Marion County <br /> Certificate of Satisfactory Completion 5155 Silverton Rd NE <br /> _ Salem, OR 97305 <br /> Marron 503-588-5147 <br /> co Installation Permit - Residential - New <br /> Building@co.marion.or.us <br /> o:'i:,EC o-H: 555-18-004425-PRMT Website: co.marion.or.us <br /> Date er i e Iss e : 4/30/2Q� � 5• F �alg�� <br /> Workesc p ,. NEW 7[!'LT INST OR 4 DR €TE. ` 4, -' , ,� ,ye-'�"f, ✓'� �, ..G <br /> Applicant: Oregon Sewer&Drain Primary Contractor:Oregon Sewer&Drain <br /> Address: PO Box 1282 Installer License:38968 <br /> Silverton OR 97381 Address: PO Box 1282 <br /> Phone: (503)874-9414 Silverton OR 97381 <br /> Email: josh@oregonsewer.com Phone: (503)874-9414 <br /> Owner: POLLMAN,DEAN W Property Address: 3340 Cordon Rd NE, Salem, OR <br /> Address: PO BOX 626 97305 <br /> WILSONVILLE OR 97070 <br /> Parcel: 072W17A 01100-Primary <br /> Lot Size: N/A Water Supply: Well <br /> Zoning: N/A City/County/UGB: UGB <br /> Land Use Approval: N/A <br /> Category of Construction:. _ _Single Family Dwelling <br /> � s <br /> �. u.,�.� ...._'� m'�"c,r a �k �a ..,..5.�. �6 m.��s <br /> Use of Structure: N/A 4 Bedroom Dwelling <br /> Number of Bedrooms: 0 4 <br /> System Specifications <br /> Type: Alternative Treatment Technology(ATTs) ATT Description: AX2ORTN <br /> Max Peak Design Flow: 450 gpd. Proposed Flow: N/A <br /> Min Septic Tank Volume: 1000 gal. Min Dosing Tank Volume: N/A <br /> Special Tank Requirements: Anti Buoyancy Required <br /> Drain Field Specifications <br /> Drain Field Type: Gravelless System Distribution Type: Equal <br /> Drainfield Sizing: N/A Distribution Method: Gravelless Half Pipe <br /> Media Type: Rock/Pipe Media Depth: N/A <br /> Trench Length: 180 linear ft. Rock Above Pipe: N/A <br /> Total Rock Depth: N/A Rock Below Pipe: 4 in. <br /> Max Depth: 12 in. Undisturbed Soil BetweenTrenches: 4 ft. <br /> Min Depth: 10 in. Capping Fills-Min Depth of Fill Material: N/A <br /> Special Requirements <br /> Groundwater Type: Temporary Groundwater Depth: 16 in. <br /> Pump to Drainfield Required: Yes Filter Fabric on Top of Drain Media: No <br /> 4/30/19:9:08:49AM Page 1 of 4 ONS_OnsiteCSC_pr <br />