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000uoign Envelope ID:o1En5EaE-EE 11nE72140A <br /> � \ <br /> CALCULATING 2 1 <br /> TION <br /> IMPROVEMENT PERMIT UP TO 600 GPD $485 <br /> IMPROVEMENT PERMIT REISSUE/REVISION/RENEWAL $175 <br /> IN-OFFICE REVISION OF IMPROVEMENT PERMIT $36 <br /> EXPANSION OF EXISTING SYSTEM IP $486 <br /> SUBDIVISION/ RECOMBINATION $486 <br /> Up to two acres Is evaluated,Sites where rock greater than 4"In diameter Is prevalent will <br /> require evaluation by backhoe pit. <br /> Any changes to the site plan,floor plan,or Intended use shall require a new application and <br /> additional fees. All projects with a design flow in excess of 600 GPD require additional fees. <br /> All projects with a design flow In excess of 600 GPD,non-residential projects,and subdivisions <br /> require that the applicant contract with a backhoe operator to dig pits on the site. Subdivisions <br /> and recombination of properties require at least the concept plan approval or plat prepared by <br /> IJ <br /> a surveyor. <br /> CONSTRUCTION AUTHORIZATION UP TO 600 GPD NEW OR EXP $360 <br /> CONSTRUCTION AUTHORIZATION REISSUE/REVISION/RENEWAL $175 <br /> IN-OFFICE REVISION OF CONSTRUCTION AUTHORIZATION $35 <br /> CONSTRUCTION AUTHORIZATION- REPAIR $0 <br /> Any changes to the site plan,floor plan,or Intended use shall require a new application and <br /> additional fees, All prolects with a design flow In excess of 600 GPD require additional fees. <br /> ES <br /> EXISTING SYSTEM AUTHO ON NGE IN FLOW) <br /> IN-OFFICE ESA WHERE NO SITE VISIT IS REQUIRED $36 <br /> MOBILE HOME PARK SPACE RECONNECTION AUTHORIZATION $105 <br /> SEPTIC SYSTEM ABANDONMENT $0 <br /> certain conditions,such as prolonged vacancy or site specific concerns,can require parts of <br /> the septic to be uncovered,the tank to be pumped,.and property lines to be,surveXed. <br /> ELL <br /> WELL PERMIT- NEW $695 <br /> WELL PERMIT- REPLACEMENT $595 <br /> WELL PERMIT- REPAIR OR ABANDONMENT +BACTERIA SAMPLE $75 <br /> Well pen-nit fee Includes one set of compliance water sampling for water supply wells after <br /> construction. If the well will serve more than one purpose(i.e.drinking water supply AND <br /> geothermal),Indicate on PROJECT DESCRIPTION, <br /> RE�,!N,8PEOTIO�Nr,fte FOR.: <br /> *PREPARING FOR THE SITE EVALUATION OR SITE VISIT: <br /> Improvement Permits for single-family dwellings on recorded properties and some Existing System Authorizations <br /> and Well Permits can be evaluated and visited without making appointments. <br /> ElVerify that the email and phone submitted are the best ways to reach the APPLICANT. <br /> []AU proposed structures must bestaked. <br /> El Property lines and corners must be clearly marked and occaoo|b|a. |f property lines cannot beverified, it will be <br /> necessary for the property to be surveyed before o determination can be made. <br /> []Trim thick vegetation, The area may need to be"bueh-hog0ed"or thinned out, Do not grade or excavate <br /> potential soil onaoo, as it in possible to damage sites beyond use. <br /> *REQUIRED. Failure to prepare the site may cause long delays In permitting or may naou|t in o Notice of <br /> Incompletion. <br /> p|mwoe read before signing. <br /> Acknowledgment., /, the undersigned, understand that I am the responsible party for making the site accessible for <br /> evaluation, permitting, andinspection purposes, Records, flags, and ribbon are available upon request, <br /> OWNER/ DATE: ~� <br /> 2 <br />