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12267036
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Last modified
8/1/2024 8:01:19 PM
Creation date
7/16/2024 11:51:24 AM
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Permits
Permit Address
4641 KAREN LN SE
Permit City
Turner
Permit Number
555-23-001215-PRMT
Parcel Number
TEMP MC
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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• <br /> • <br /> Oregon Department of Environmental Quality <br /> * Dosing tank capacity (gallons) <br /> * Tank volume determined by:Check all that apply,add comments below as needed. <br /> Permit Records Measured Stamped on Tank Other <br /> * Dosing tank material <br /> * Dosing tank appears to be watertight and in good condition 7 Yes No <br /> * Dosing tank lid is intact Yes No <br /> * Electrical components are sealed and watertight Yes No <br /> * Pump/siphon is functional Yes No <br /> * Type of Pump Demand dose I, Time dose <br /> * Pump control mechanism is functional(floats,pressure transducer) 1Yes No <br /> * There is a high water alarm 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 j[1 Yes riVo <br /> * Screen cleaned for this evaluation Yes No <br /> * Scum/sludge present in Dosing tank [1 Yes No <br /> * Scum layer (inches) Sludge layer (inches) <br /> * Additional Comments: <br /> 5. Soil absorption system <br /> The soil absorption system is a set of trenches that receives effluent from the septic tank and <br /> filters the effluent before it enters the groundwater. <br /> * The septic system has a soil absorption system []Yes No I I Unknown <br /> * Was the soil absorption system part of the evaluation? I X I Yes n No j See note below <br /> If the soil absorption system was not evaluated,please explain be ow for example unable to locate,client did not <br /> authorize this part of the evaluation): <br /> * Absorption distribution LEqual x Serial Pressure Equal via pressure <br /> * Absorption lines construction material: <br /> Gravel and pipe X Chamber Tile Polystyrene foam and pipe Other <br /> * Absorption distribution unit(s): x dropbox ihydrosplitter !equal distribution box <br /> x intact [(Damaged L N/A <br /> • Absorption distribution unit(s)are free of debris or solids x fres 1No N/A <br /> Page Page 4 of 8 <br />
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