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12317185
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Last modified
8/23/2024 9:34:08 AM
Creation date
8/14/2024 4:09:16 PM
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Template:
Permits
Permit Address
10351 NORTH FORK LN SE
Permit City
Lyons
Permit Number
555-24-002398-PRMT
Parcel Number
093E11BB02200
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Marion CountyPublic Works <br /> .11I��.,, <br /> ,1111,,,;` Building Inspection Division <br /> 11��`��_ 5155 Silverton Rd NE <br /> � �" Salem OR 97305 <br /> MI (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 j3 *frith Y'7h A Lh,S " TAX LOT# c7v3e--#850eg aD D <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK MFG. CAPACITY MATERIAL <br /> O DOSING TANK:MFG. CAPACITY MATERIAL _ <br /> ❑ SEPTIC/DOSING TANK 0 SINGLE COMPARTMENT 2'TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG.j4 nia,�� �CAPACITY /� MATERIAL <br /> a ric MFG.'S SPECS. INCLUDED 0 <br /> 2. PUMPING ASSEMBLIES//�� I "}. 24 <br /> PUMP 1: MFG.D t O MODEIF q�)�All? (INC?1 E4FORMANCE CURVE) IE3---- <br /> PUMP 2: MFG. MODEL V (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG.Lare1K,-.7 MODEL S c h S.. ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL I 0 <br /> I <br /> 3. EFFLUENT TRANSPORT PIPING <br /> O GRAVITY EFFLUENT SEWER: LENGTH DIAMETER TERIAL -- - FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH 2 a DIAMETER MATERIAL PSI <br /> 1/64019,1101Adi 7 bias- 414k wateteluil detIO it t#a <br /> 4. DISPOSAL FIELD(DRAINFIELD <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL PRESSURIZED "-P <br /> TOTAL LINEAR FOOTAGE: /t - <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER G � PChid <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 OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) 19 <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING 614/1 C'V/l- <br /> TRENCH DEPTH: /. <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER , f <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> O SAND FILTER 0 RGF 0 ATT: TYPE <br /> G:\BUILDING INSPECTION\FORMS\SEPTICWORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br /> I <br />
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