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Last modified
1/9/2020 2:19:12 PM
Creation date
12/26/2019 3:06:21 PM
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Permits
Permit Address
13570 WISTERIA CT NE
Permit City
AURORA
Permit Number
555-19-008036-AUTH
Parcel Number
041W11BD00700
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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Oregon Department of Environmental Quality <br /> • Sand filter unit appears to be free from roads,vehicular traffic,structures, livestock,deep-rooted <br /> plants etc. <br /> Eyes ENo <br /> If you answered"No,"please describe below: - <br /> • Sand filter appears to be free from surface water runoff and down spouts ❑Yes ENo <br /> • Evidence of ponding in/on sand filter media surface Eyes ENo <br /> • Surface access to manifold and valves EYes ❑No <br /> • Monitoring ports are present ❑Yes ❑No <br /> • Lateral lines flusdeq di 'button verified ❑Yes ENo <br /> • The sand filter h pio <br /> p ❑Y ❑No <br /> (If"No",skip th r f ctio <br /> • Pump vault app s to wat fight and in good condition ❑Yes ENo EN/A <br /> • Pump is functional es ❑No <br /> • Pump control mechanism is functional(floats,pressure transducer)['Yes ❑No <br /> • High water alarm in pump vault(audible and visual)is working ❑Yes ❑No <br /> • Pump electrical components are sealed and watertight ❑Yes ❑No <br /> • Additional Comments: <br /> 7. Alternative Treatment Technology System <br /> The owner of an ATT system must maintain an annual service contract with a certified <br /> Maintenance Provider.Maintenance records should be available from the system owner,or the <br /> contracted Maintenance Provider.Please attach copies of the previous two years of <br /> maintenancerecords to this evaluation form. <br /> Note*Some ATT systems may have a WPCF permit.Please contact the local Health Department <br /> or the DEQ to obtain a copy of the WPCF permit. <br /> • The septic system has an Alternative Treatment Technology(ATT)Eyes ENo <br /> (If"No,"skip the rest of section 7) <br /> • Please provide the product name,system ID number,and manufacturer name below: <br /> Product name <br /> System ID number <br /> Manufacturer name <br /> Page 6 of 8 <br />
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