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Onsite Permit 555-17-007615-PRMT Page 2 of 3 Schedule Inspections online at www DUlydingpermits.oregoagov or by calling 1-888-299-2821 or 541-388-6575 When calling for en inspection,use IVR Number 555092295823 Pf Sesued: 10/16/1] 1g�^Iq xp,i tEx ti^*!NI 4JfCJ y , i'ipi2ti s i �bff8 r aI WoHLlfeSorlPtiom�J( R �EPMiAIR AC� JN�n:Sr Meld* \ Special Reim“: Stake Out Reqd: No Groundwater Type: N/A Groundwater Depth: N/A Groundwater Interceptor: N/A Groundwater Interceptor Depth: N/A Groundwater Interceptor Drain Media Amt: N/A Pump to Drainfleld Reqd: N/A Filter Fabric on Top of Drain Media: N/A Rake Trench Sidewalls: N/A Other Special Rqmt: Not specified Conditions of Approval • The septic tank installation plan is approved as submitted. Please refer to the signed approved site plan dated October 16, 2017. Any deviation from the approved plans must be authorized by this office prior to installation or the permit may be voided. • SEPTIC TANK: 1000 gallon as per submitted plans TANK RISER: The tank must be installed with watertight risers extending to the ground surface or above. The riser lid must be gasketed and securely fastened. • EFFLUENT SEWER:The effluent sewer is the pipe from the septic tank to the distribution 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 five (5) feet from the tank. There must be a minimum difference of eight(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 six (6) inches of fall between the septic tank outlet and the distribution box inlet. In Serial Distribution, there must be two(2) inches of fall between the septic tank outlet and the drop box inlet. • OBSERVE ALL SETBACKS AND SEPARATION DISTANCES as required by the DEQ rules. A copy of the DEQ setback requirements is available in our office and online at http://www.oregon.gov/deq/Residential/Pages/Onsite.aspx under Rules: Division 71: Table 1. • 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. CALL BEFORE YOU DIG...IT'S THE LAW Al-FEN-RON OregOn 1.144 reqUires you tO fullew le5 adopted by the Olegon Ublity prohntatoo cent.. Those les Ore set h Oregon Mmmietmwn vw may oeon copies the',les by calling the aIM telephone(Note Itelephone number for mo e orogen unity Nounnn on Center L 800 33223441 v ewe. 10/16/17: 1:45:46PM Page 2 of 3 C:\myReports/reports//production/01 STANDARD REPORTS/std_OnsitePermit_v2_pr.rpt