HomeMy WebLinkAboutPermit Plumbing 1991-11-6
11/UU/ZUUl lZ:17 YAX ~41 955 7199
SDU SPRINGFIELD
19J002
. UNDEP,GROUNO INJECTION CONTROL.
REGISTRATION
Single.Family StoflT'lWate( Ois~h8rge &
GeothenTIal Heating Systems
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OregoD Dep.rtment orEn~lronmenlAI Quality
(see Ptl. 2 (or detaDed instructions)
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\. LeSal Nam.: SOny Disc Manufacturing
3. FaciliryPhy.icaIAddrcss: 174 Oeadmond Ferry Rd.
Springfield, OR 97477
City, State. Zip Cod.:
S. Latimde:~degI<C' ~minule.1L.econds
6. FaciliryConlactNamc: Facilities Engineering
ConI8OITelephOl)'#: Manager
Fax#: 988-7499 988-7420
Ric.e House
I" F.cilily M.Hing Address: 123 International Way
Ciry, State, Zip Code: Springfield, OR 97477
LenSitude: 1 ~ deB'"'" 1 _ ",inute. 34 _ seconds
7, Re'ponsiole Offici.1 Name: Tom Costabile
Addloss: 123 International Way
City, Swe. Zip Codc; Springfield , OR 97477
B. FACILITY DESCRIPTION (ATTACH DOCur~Erns AS NEEDED)
t. Lauduse1Al!lillsoffacitity; OlDdustrial Oc.......~.~. OP..sidcrnial K]0lh""C8lIltlUS Industrial
2. Orinking...lor sou",c; Monthly ayenge usare (aalJday): ~ b Publie water 0 _ Well
3. Deplll .. will.... high WIlier table: _ rea If DOl ayailable, .ver3&" dcpllllO groundwa<<r: ~ reet
4. WIW olher m.....1O dispose oflhc ....ter.... """Iaole to you? (e.g. city stormwater) None
$, Distance lo neareJ[ domestic/public W3.tm" well ~.........__....
6. so....OrUU..tioD wat.r(ch..k one): QlI Roof 0 Pa_ed.... (dri~eway or ._,) 0 Shop/G.ruge OOrber
7. Well Type:
o Geothermal Heat Districts or Building Dt)'Well
o CIOJed Loop Hea' Pump Return - Residential U'e
ll!I StonnwalCr (SUlOp. dlywell, roof drain)
8. Wen s..tus: 10 Acti-. 0 Under CODSUUetion
Installation o.te: August 15, 2002
9.
10. Well Depth: 8 II Well Diameter 10
II.. Iryou ha1re mo..1banone well. pt.... explaiD here;
o Ftoor Drain '
o Specill Dralft-:!.se: Water
o OtherWeUs
o InactiveINo~ in use
o Oc:commissioned (closed)
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12, Li.unyotlw:rDEQ or public '8= permits applied foT ori'SIlcd.. rhis racility: Building \,,,rmit 01-00536-01
sitQ dQvQlopmant, trGG felling>> land and drainagG alteration
I hereby certify lhallhe Information contained In this reglstrallon Is true and correct to the besl of my knowledge and beUof.
OEQIWQldoeumenl # UlCOEO-IOO4 (01/01)
SVP Ooerations. Sony Disc Manufactur1n~
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