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10512279
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Last modified
7/14/2021 4:01:28 PM
Creation date
6/25/2021 11:25:33 AM
Metadata
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Template:
Permits
Permit Address
11998 DUCK INN RD NE
Permit City
GERVAIS
Permit Number
555-20-007035-PRMT
Parcel Number
052W35B 01200
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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kik Marion County Public Works <br /> '''`'"'� ''',ili Building Inspection Division <br /> -....--0. --. ...,-....E...- 5155 Silverton Rd NE <br /> 4,.. %������ Salem OR 97305 <br /> -• (503) 588-5147 Fax(503)588-7948 <br /> http://www/co.marion.or.us <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS r di' u , ` 4. i. TAX LOT#Sa , 36,5S. R21., <br /> 12tvAA Sl C o,d 9 70-2-,C SECTION TOWN,81--iIP RANGE VrT <br /> 1. SEPTIC TANKS • <br /> • ❑ SEPTIC TANK MFG. =estFi LT2A 1te...CAPACITY . 111114., _ MATERIAL PLASMIL I fA <br /> so ► a k.'MFG. CAPACITY _ - - 1vet.rr <br /> ❑ SEPTIC/DOSING TANK 0 S mei' -•. • • , __ . • - _ - --•__- <br /> ��� MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS. INCLUDED <br /> 2. P LIES <br /> PUMP 1: MFG. MODEL (IN PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. ' EL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. a L 0 <br /> HYDROSPLITTER: MFG. MODEL •- • ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILT :• • . MODEL 0 <br /> DIS : :• ON VALVE:MFG. MODEL ■ <br /> 3. EFFLUENT TRANSPORT PIPING "" - MCA) S" -178.34k(-178.34k( �� <br /> � T � <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH ( eft' DIAMETER 4 MATERIAL YFALL(IN INCHES) S $ <br /> / <br /> DIAMETER (dIA9ERIAL .--11151-* <br /> ...--" <br /> P3h- <br /> '--" " eost1 `CO PRAIA t41t jx-11-» -- �!,t <br /> 4. DISPOSAL FIELD(DRAINFIELD) 4�/ JCC S ifl (WI' .�1 — 11 <br /> DISTRIBUTION TECHNIQUE: X EQUAL ❑ LOOP ❑ SERIAL ❑ PRESS/UVRIZED /i ,�, <br /> TOTAL LINEAR FOOTAGE: d -¢% W L r' be� ec `�/ •D �•'i,'5 <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD OCK&PIPE 0 OTHER ` <br /> TOTAL DEPTH I!42—1$ DEPTH BELOW IPE If i� IY S it . <br /> d <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN .Z''��r MAX %0 <br /> CAPPING FILL DEPTH(DEPTH OF CAP):{ /44 <br /> SETBACKS FROM WELLS: SEPTIC TANK (titl SAND FILTER OR ATT UNIT TC DRAINFIELD (X> 74+ <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: �b !,""' $1 <br /> DRAIN MEDIA: AIROCK&PIPE "QTHER t1/IPS' "111— AWDLfras. p .x eq'b�/ <br /> TOTAL DEPTH DEPTH BELOW PIPE M)k❑ FILTER FABRIC bI�,/�{.1 IN��1 f 1 <br /> PERFORATED PIPING: DIAMETER .4 it MATERIAL PVC SCa'3. ` <br /> 6. ADVANCED TREA ' - <br /> ❑ SAND FI -- ■ RGF 0 ATT: TYPE • <br /> G:\FORMS\SEPTIC\FORMS1S-60 MATERIALS LIST.DOCX Rev 3/18 <br />
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