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11910723
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Last modified
10/24/2023 8:00:11 PM
Creation date
10/24/2023 3:15:31 PM
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Template:
Permits
Permit Address
4087 WINTERCREEK RD SE
Permit City
Jefferson
Permit Number
555-21-011989-PRMT
Parcel Number
092W19 01300
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Marion County Public Works ASS-�1-0 II T g f- Mit- <br /> ,u Y��W ii* Building Inspection Division <br /> " ` � 5155 Silverton Rd NE RECEIVEr <br /> u <br /> 1 �� Salem OR 97305 <br /> r (503)588-5147 Fax(503)588-7948 DEC 2 3 2021 <br /> k *-; ° http://www/co.marion.or.us <br /> ^ ; - MARION COUNTY <br /> _.._, x BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> i A <br /> ADDRESS 6/0 S 7 wiwT1� C fZ 12.0C TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 'I. SEPTIC TANKS f <br /> (13 SEPTIC TANK: MFG. ,e410 i lg CAPACITY ®4—ob MATERIAL EDGO C, <br /> 0 DOSING TANK:MFG. CAPACITY MATERIAL <br /> 0 SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS.INCLUDED • <br /> 2. PUMPING ASSEMBLIES I <br /> PUMP 1: MFG. ' O 4 / • MODEL P-.,,ea •(INCLUDE PERFORMANCE CURVE) ir' <br /> PUMP 2: MFG. I MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. I`.S / I MODEL 0 <br /> HYDROSPLITTER: MFG. OS / MODEL _ (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING <br /> 0 GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> 0 PRESSURE PIPING: LENGTH -ise) DIAMETER /' `t MATERIAL PUe.- PSI <br /> 1 <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP it-SERIAL 0 PRESSURIZED <br /> A <br /> TOTAL LINEAR FOOTAGE: ®,A- <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD gROCK&PIPE El OTHER <br /> TOTAL DEPTH a Q' DEPTH BELOW PIPE :-Pa J <br /> fee se M <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN AX eI I O Z 4 Ke <br /> CAPPING FILL DEPTH(DEPTH OF CAP': bee): _• <br /> . SETBACKS FROM WELLS: SEPTIC TANK A SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> 4_CURTAIN DRAIN 0 TILE DEWATERING - <br /> TRENCH DEPTH: M2 er <br /> DRAIN MEDIA: OROCK&PIPE 0 OTHER <br /> TOTAL DEPTH Ai <br /> a'P' DEPTH BELOW PIPE FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER 49 er MATERIAL A . <br /> 6. ADVANCED TREATMENT UNITS <br /> o AG <br /> 0 SAND FILTER ❑ RGF AP ATT: TYPE �� 20 11 itrZ2 <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 ‘ <br /> I <br /> 5 <br />
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