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hi%%' Marion County Building Inspection Division Onsite Septic Review OREGON PUBLIC WORKS Permit Number: 13-01815 Date: March 27, 2013 Project Address: 21579 Champoeg Creek LN NE, SP. Completed By: Jessica L. Joye,REHS, Onsite Wastewater Specialist ONSITE WASTEWATER TREATMENT SYSTEM MINOR REPAIR TANK REPLACEMENT The proposed septic tank installation is approved as submitted. Please refer to the signed approved site plan dated March 27, 2013. Any deviation from the approved plans must be authorized by this office prior to installation or the permit may be voided A failing system must be immediately repaired to eliminate the public health hazard per OAR 340-071-0215. EFFLUENT SEWER:The effluent sewer is the pipe from the septic tank to the distribution or drop box. The material required is 3034 or Schedule 40 pipe with 18-gauge minimum green tracer wire or green metallic tape placed along the pipe. The effluent sewer shall extend at least 5-feet from the tank. There must be a minimum difference of 8-inches between the invert(flow line)of the septic tank outlet and the invert of the distribution or drop box outlet. In Equal Distribution, there must be 6-inches of fall between the septic tank outlet and the distribution box inlet, and 2-inches of drop within the box. In Serial Distribution,there must be 2-inches of fall between the septic tank outlet and the drop box inlet, and 6-inches of drop within the box. OBSERVE ALL SETBACKS AND SEPARATION DISTANCES as required by the DEQ rules. The well placement is especially critical and must be located at least 50-feet from the septic tank. A minimum 5-foot setback is required from the septic tank to a building foundation. A copy of the DEQ setback requirements is available in our office. THE ATTACHED SEPTIC TANK ABANDONMENT FORM MUST BE COMPLETED AND RETURNED TO OUR OFFICE.The septic system installer must complete and sign the form and attach a copy of the receipt from the septic tank pumping service for pumping the tank. THE APPROVED SEPTIC SYSTEM AREA MUST BE PROTECTED from any vehicular traffic, livestock and farming activities. Other activities such as logging, excavating or filling, driveway placement or any similar activities may also damage the soil in the area and adversely affect the septic system approval. The areas of the initial septic system and the future repair system must both be protected. 5155 Silvenon Rd NE — P.O.Box 14500—Salem,Oregon 97309-5036—Phone(503)588-5147—Fax(503)588-7948 Page 1 oft