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Marion County Building Inspection <br /> 5155 Silverton Rd NE-PO Box 14500-Salem,Oregon 97309 <br /> Phone: (503)588-5147 inspection Line:(503)373-4427 <br /> Check your Permit Status On Line at: http://publicworks.co.marion.or.us/building/ <br /> NEW INSTALLATION SEPTIC PERMIT <br /> DATE: 11-28-2012 TYPE: NEW PERMIT NO: 12-06306 <br /> OFFICE: MC USE: C STATUS: ISSUED <br /> MAP: 99 ISSUED: 11/28/2012 <br /> SITE: G EXPIRES: 11/27/2013 <br /> ZONE: C TC <br /> WORK DESC: NEW INST: SE4 10-05718 MINTO FISH FACLSTY & '- EMPLOYEE <br /> SITE ADDRESS: 34939 NORTH SANTIAM HY SE GT <br /> PARCEL: 094E29 00E00 <br /> APPLICANT: A AFFORDABLE SEPTIC SERVICES LLC A AFFORDABLE <br /> SEPTIC SERVICES LLC <br /> ADDRESS: PO BOX 1130 PO BOX 1130 <br /> WILSONVILLE, OR 97070 9707C <br /> PHONE: 503-682-1929 RICK <br /> OWNER: UNITED STATES OF AMERICA UNIIED STATES OF <br /> AMERICA <br /> ADDRESS: C/O ARMY CORPS OF ENG-NEERS <br /> PO BOX 3755 SEATTLE WA 98124 <br /> PHONE: <br /> OCCUPANT: UNITED STATES OF AMERICA <br /> INSTALLER: A AFFORDABLE SEPTIC/RICK JONAS <br /> I'-CENSE NO: 37918 <br /> ADDRESS: PC BOX 1130 <br /> WILSONVILLE OR 97070 <br /> PHONE: 503-682-1929 <br /> Description Fee Units Descr ation Fee <br /> Constructin 5652.00 Other Inspection ars: $0.00 <br /> DEQ Surcharge: $ 0.00 Re'_rspecicn His: "a 0.00 <br /> Misr/Copy/CDoy Fee: 50.00 <br /> P'.urp, Dosing 591.00 Total Assessed Fees: 57$0.00 <br /> Adjustments: 53.00 <br /> Fees:aym: $753.00 <br /> Total Payments: $] 0.00 <br /> Balance Due:: 60.00 <br /> THIS PERMIT EXPIRES 365 DAYS FROM THE ISSUE DATE IF WORK HAS NOT COMMENCED OR IS WORK FAILS TO MEET ALL <br /> REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES, AND IS NON-REFUNDABLE. <br /> SIGNATURE OF APPLICANT: X <br /> This property was <br /> s previously evaluated 11/28/2012 for the feasibility to install a septic system. Eased On the <br /> results of thisstudy, size evaluation approval is granted. The approval issite specific to the area tested, <br /> and the septic system must be located in the immediate area <br /> of the test pis, unless otherwise authorized by <br /> this office. A new site a evaluation may be required if thesystem is proposed for a different area on the <br /> property. <br /> This approval is given on the basis that the lot or parcel will not be further partitioned orsubdivided and <br /> that conditions on this propertyand onadjacent properties arenot altered in <br /> any mannerwhich would prohibit <br /> s <br /> the i of a permit. Soils in the a ved area shall notbe altered ormodified by cutting, filling, or <br /> otherdevelopmental activities which would impede the successful operation of the initial or replacement soil <br /> absorption systems. Failure to comply with the above items may void this approval. <br /> This permit is issued only to the o easement holder of the land onwhich c system is to be installed, <br /> mr to a person licensed under ORS 454.695 Thetransfer ofthis permit from the original permittee to another <br /> ay be granted if an application for a permit transfer is made prior to the original permit expiration date, and <br /> no other changes tothe permit are necessary. <br /> WARREN <br /> RE DJACKSON MARIONCOVNIY BUILDIY CIyU. P/'CGOFFIN <br /> CALL BEFORE OGnG M 'S fir/ <br /> ATIENnON Oregon law requiresrequiresyou to follow rules adopted by he Oregon Utility No fi a o Center Thom ades are set fo by Oregon Administrative Ru lea You y obtain copies of be rules by calling the center. <br /> (Nom'.The telephone number(Dube Oregon Utility Notification center ts 1-800-332-2344) <br />