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12267775
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Last modified
7/18/2024 9:38:34 AM
Creation date
7/16/2024 4:50:59 PM
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Template:
Permits
Permit Address
7808 CHAMPOEG RD NE
Permit City
St paul
Permit Number
555-22-006875-PRMT
Parcel Number
042W02 01200
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Marion County Public Works <br /> Building Inspection Division <br /> 5155 Silverton Rd NE <br /> 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 /> ►-7 (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS l S(C)3C C J rL Af 5 r TAX LOT# C`12'4'0 2 vo o I2.°o <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> SEPTIC TANK: MFG. CAPACITY (a°d gw I MATERIAL L 0 61 C r'Ci <br /> DOSING TANK:MFG. CAPACITY MATERIAL <br /> SEPTIC/DOSING TANK:ErAGLE COMPARTMENT ❑ TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. _ CAPACITY MATERIAL <br /> ❑ MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBUES <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) <br /> CONTROL PANEL: MFG. MODEL <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) <br /> EFFLUENT FILTER: MFG. MODEL <br /> DISTRIBUTION VALVE:MFG. MODEL <br /> 3. EFFLUENT TRANSPORT PIPING <br /> GRAVITY EFFLUENT SEWER: LENGTH 1 61 DIAMETER y 'I MATERIALDv4- V •FALL(IN INCHES) • <br /> PRESSURE PIPING: LENGTH DIAMETER MATERIAL f PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL ❑ LOOP ❑ SERIAL ❑PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD ❑ ROCK&PIPE ❑ OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN MAX <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER ORATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑TILE DEWATERING TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC STATE CERTIFIED <br /> PERFORATED PIPING: DIAMETER MATERIAL Environmental Health Specialist <br /> err,* EH-S-1020 40 <br /> 6. ADVANCED TREATMENT UNITS <br /> El SAND FILTER ❑RGF ❑ KIT: TYPE _ r - L <br /> C:\USERS\SGARCIA\DESKTOP\S-60 MATERIALS LIST.DOCX Rev 3/18 <br /> Robert Goodwin <br />
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