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11853078
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11853078
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Last modified
9/29/2023 1:30:41 PM
Creation date
9/18/2023 12:13:56 PM
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Permits
Permit Address
9499 GOLF CLUB RD SE
Permit City
Aumsville
Permit Number
555-23-005471-INQY
Parcel Number
091W04B 01700
Permit Type
Inquiry
Permit Doc Type
Permit Document
Status
Ready to Film
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Oregon Department.o€Environinehtai Quality <br /> • Dosing tank Capacity (gallons) <br /> • Tank volume determined by:Check all that apply, add comments belowas needed <br /> ❑Permit Records❑Measured❑Stamped on Tank❑Other <br /> 6 Dosing ta.tik material <br /> • Dosing-tank appears to be watertight and in good.condition ❑Yes No <br /> • Dosing tank lid is intact ❑Yes ❑Np. <br /> o Electrical cOmiOnernts are sealed and watertight DYes ❑No <br /> ®. Pithy/siphon is funetional ❑Yes ❑No <br /> © Type of Pump UDemand dose ❑Time dose <br /> a Pump controlanechanism is functional(floats,'pressure transducer)Dyes ❑No <br /> • There is a high water aiarm.❑Yes ❑No <br /> • The high water alarm(audible and visual)is Working ❑Yes. ❑No [Not Applicable <br /> ® Type of screen <br /> • Screen is clean and free of debris❑Yes ❑No-Screen cleaned for this evaluation❑Yes ❑No <br /> ® 'Scum/sludge present in Dosing tank ❑Yes ❑No <br /> • Scum layer (inches) Sludge layer (inches) <br /> • Additional Comments: <br /> 5. Soil-absorption system <br /> `]'he soil absorption system is a set of trenches that receives effluent from Me septic tank and <br /> filters the effluent before it enters the groundwater. <br /> • The septic system has a soil rbsorption system[!V�`es DM) ❑Unknown <br /> e Was the soil absorption system part of theeVaj.uation?Pces ❑See note belot4 <br /> iftlie soil absorption sy§tein Was not evaluated.please explain below(for example unable to <br /> locate,client did not authorize this part of the evaluation): <br /> o Absorption distribution [ptial ❑Serial ❑Pressure ❑Ecjual viapressiiie <br /> • Absorption lines construction material: <br /> C/ravel.and pipe ❑Chamber ❑Tile ❑ polystyrene foam and pipe ❑Other <br /> • Absorption distribution iinit(s):❑dropbox❑hydrosplitter[Altai distribution box <br /> [vIntact ❑Damaged ❑N/A <br /> • Absorption distribution unit(s)are free of debris or Solids Yes ❑'v'o.Li NIA <br /> Page4of8 <br />
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