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9084344
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Last modified
1/15/2020 11:55:21 AM
Creation date
1/3/2020 2:38:40 PM
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Permits
Permit Address
34939 NORTH SANTIAM HY SE
Permit City
GATES
Permit Number
555-12-06306
Parcel Number
094E29 00600
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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• <br /> ONSITE APPLICATION CHECKLIST <br /> Incomplete applications cannot be accepted per OAR 340-071-0160 <br /> A complete septic application must include the following,please check-off: <br /> & Fees paid <br /> ®' Application <br /> W Authorization to apply(if the applicant is not the owner <br /> ❑ Proof of Ownership (If the property has changed ownership within the past year; we may need <br /> proof of new owners.) <br /> ❑ LUCS* - check the zone on the screen (see handout for process) <br /> *LUCS is required for all applications (except Existing System Evaluations and Record Reviews) <br /> when a property is located inside city limits, or inside the UGB. When a property is located outside the <br /> UGB,the LUCS is addressed in Permits Plus via sign-off by Planning. <br /> History OR ❑ System Components carefully exposed with a hand shovel. (Not required for Repairs) <br /> SC/ 5- ' ' El Top of tank, inlet and outlet exposed <br /> 1�'� ❑ Distribution or Drop Boxes exposed <br /> ❑ Beginning and End of each drainline exposed <br /> (System can be flagged instead of exposed for ESE's only) <br /> ❑ Test holes ready (required for Major Alteration, Major Repair and Site Evaluations) <br /> ❑ Pumper form(required for Authorizations and Existing System Evaluations) <br /> ❑ Pumper Receipt (required for Authorizations and Existing System Evaluations) <br /> W Detailed site plan (2 copies) with all required information (initial site plan after reviewing site <br /> plan checklist)to include the existing drain lines and existing tanks. <br /> ❑ All related site plans for proposed development(Property Line Adj., Partitions, Subdivisions, etc.) <br /> ❑ Stakeout of components (required for Sand Filters, ATTs, RGFs, or Installs if required by the Site <br /> Evaluation) <br /> ❑ System construction plans (required for Sand Filters, ATTs, RGFs, Holding Tanks) <br /> ATT, AGE (circle system): <br /> ❑ Service Contract <br /> ❑ O&M Manual <br /> ❑ Manufacturer Certified Installer <br /> Holding Tanks: <br /> ❑ Pumping Contract <br /> ❑ Red tag(required for all Major and Minor Repairs) <br /> Assessor's map with parcel site identified and highlighted <br /> RECORD REVIEW APPLICATION CHECKLIST <br /> A complete record review application must include the following, please check-off: <br /> ❑ Fees paid E Fees not applicable—Ag Exempt <br /> ❑ Septic Certification form ❑ Septic History (if available) <br /> ❑ 2 detailed site plans with all required information(extra plans not required if in conjunction with a <br /> building permit) <br /> ❑ Assessor's map with parcel site identified and highlighted <br /> GdFORMS\SEPTIC\Application Checklist 2008 doe <br />
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