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8562934
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Last modified
3/26/2019 10:06:30 AM
Creation date
3/18/2019 9:11:15 AM
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Permits
Permit Address
5233 KEENE RD NE
Permit City
GERVAIS
Permit Number
555-18-007108-PRMT
Parcel Number
052W20 01700
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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1 sl -b5 11 D 3 �n� <br /> t g x' sz.5"'Aif er-• <br /> Start-Up CkecklistIIdvanTex® Systems <br /> MON Start-Up• <br /> .oribeco <br /> ......,....„ <br /> ce <br /> For Oregon Service Providers Incn.pocue <br /> 800-348-9843 <br /> Service Provider. (4...-S c — — 9 <br /> `-' ..)./13\C-4......- nate.of Start Up; �. �� , ) <br /> Project Infonnation Primary'iteatment <br /> Permit if: Process Tank.Verify the following; <br /> Owner "(Olt7�'tr 1 rt ".(0t2J2 3 7 <br /> Number of Tanks: Tank size: gallons <br /> Address 6.a.-. J1/1.L Number ofcompaitments: ."l <br /> City 60/tJ4116 State:O_Zip: 1t-C Tankconstructlon: 0 Concrete Hber <br /> Phone Number �Q 3"'est — y(. giass <br /> ��a 5�+����'"rQ Tank manufacturer. 6 c'�e.r.�.� <br /> Designer/Ertl/Meerdr 5VA/be/MI c I Pro��)k Pumping Equipment Verify the following:t <br /> Phone; " t•(e— q3 <br /> liel Pumpl g:equipmentinstalled.properly. <br /> Authorized Installer: Mk:5 f( .h <br /> Phone • Discharge plumbing properly Instailedthrough watertight <br /> 1 et.. comet and ball velvet In open position. <br /> AdvanTeg Peale. <br /> Floatassembly mounted In'Biotube®vault and properly set <br /> Phone; :ca - e per AdvanTex Guide;Float cords neatly wrapped. <br /> Electrician:. . and splice boxand;tled. <br /> Phone; <br /> Fl is operate properr <br /> ly tNnF-3! <br /> —Residentia stets-Infennation u set properly at.1_2'/D•j ". <br /> Splice box mounted on access:rlser.Watertight connectors <br /> Number of Bedrooms; used; <br /> Number of ticcupants: Process Tank Pumping System.Verify proper operation of the pumps. <br /> Number of Filter Pods: N. Mode: .l Q Pumps operate In Manual. <br /> NSF Certification Labelin on Panel,and Pod? if ❑•Pumps operate In Automatic. <br /> Pod Sticker'#: [���^ / <br /> Dispersal Method: . Navy mg ' <br /> 7z -` <br /> NfOkkSt 473 <br /> Items Not Visible.During Stairt4lp Inspection <br /> ass tank has proper bedding and is set level. <br /> +y <br /> ahs <br /> Disc rge-basiNtank has proper and is*level. � j <br /> Requl r- ants:for•anti-flotation have been met for processing tank and discharge pump basin/tank. <br /> ' <br /> Ci Tank:was tested for watertightness. <br /> it nequlfements,for anti-flotation have beenmet forAdvanTexfilter pod. <br /> C AdvanTex system has:properly sized and installed underdraln pipe,with a slope on underdraln that allows for proper ventilation. <br /> All connections have been properly,glued—including the use of primer—and cleared of:debris.. <br /> ace elevatlon difference between the invert of the outlet to the invert.of the RSV isedequate. <br /> [3Transportline from the discharge pump basi hank to the drainfleld has been Installed and cleared of debris.All connections. <br /> have bselr properly glued—Including the use of primer. <br /> El-rainfleid'hes been installed per designer's speciticatlons. ' i� <br /> Installer Signature: <br /> 020e5OreacoSy aussmlna <br /> sot arx-ora=osi <br /> eel,a%as 1705. <br /> Pagel o!2' <br />
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