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12256703
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Last modified
7/11/2024 4:40:54 PM
Creation date
7/9/2024 12:17:01 PM
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Permits
Permit Address
4396 WACONDA RD NE
Permit City
Salem
Permit Number
555-24-004043-AUTH
Parcel Number
062W06D 01200
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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Oregon Department of Environmental Quality <br /> • The septic tank material is: <br /> +1%.. Concrete • <br /> Steel <br /> 1* Plastic <br /> ® Fiberglass <br /> Other(explain) <br /> unknown <br /> • Is the septic tank accessible? DYes ZSINo <br /> • Septic tank volume in gallons. 1,000 • <br /> .• Tank volume determined by:Check all that apply,add comments below as needed <br /> 0 Permit Records[3_Measured D Stamped on Tank Otherlan.i ✓1&7e- <br /> • Septic tank risers are at ground level ['Yes ' Io (0 N <br /> • ' Tank appears to be free from defects,leaking and signs of deterioration Yes DNo <br /> If you answered"No,"please describe the condition of the septic tank below.For example, <br /> evidence of gas corrosion,cracks,leaks,etc. <br /> • Septic tank lid(s)is intact 'n Yes DNo <br /> • Septic tank baffles are intact:Inlet Wes [JNo Outlet DYes DNo <br /> • Baffle material-Inlet n!i'lastic DConcrete OMetal Outlet Plastic OConcrete ['Metal <br /> Effluent filter is present DYes 1No - <br /> • Effluent filter is free of debris DYes DNo 'Tot Applicable <br /> • . Liquid level in tank relative to invert of outlet ZAt []Above ['Below <br /> If above or below invert outlet,please explain: . <br /> • Scum layer 6 (inches) Sludge layer 14 (inches) <br /> • Scum and Sludge layer more than 35%of the total tank volume ['Yes <br /> Indicate where sludge measured from:[]Inlet DMiddle ggoutlet <br /> • Additional Comments: <br /> 4. Dosing tank/Pump Basin <br /> Dosing tanks use a pump to send effluent to a treatment unit or a soil absorption field. <br /> • The septic system has a dosing tank. DYes KNo <br /> (If"No,"skip the rest of section 4) • <br /> • At the time of this evaluation the power was on to test the pump(s):DYes DNo <br /> • Page 3 of 8 <br />
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