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Last modified
10/1/2024 11:24:45 AM
Creation date
9/21/2024 4:10:35 PM
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Permits
Permit Address
6336 55TH AVE NE
Permit City
Salem
Permit Number
555-21-004692-PRMT
Parcel Number
062W33B 00400
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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ONSITE SYSTEM MATERIAL LIST INSTRUCTION SHEET ; <br /> The Onsite System.Material List is a necessary and important part of the pre-permit system plans: This document <br /> allows us to catch any potential problems before the system is installed and allows you to familiarize yourself with the <br /> materials and construction requirements for the system.This form mustbe completed,submitted; and approved before <br /> we can issue a permit.`Once approved,this document becomes part of the permit and will be,used to perform the'. <br /> inspection of your installed septic system. <br /> MATERIAL LIST SECTION <br /> 1. Tank information: Enter septic tank,dosing tank,or septic/dosing tank information (you will not have a dosing tank <br /> if you are constructing a gravity-flowsystem). ;• : ..f <br /> a. .Mfq: Is the name of the manufacturer who made the tank. - <br /> b. Capacity: Is the capacity of the tank in gallons. <br /> c. Material: Is what material the septic tank is constructed from (concrete, steel, polyethylene, etc...). <br /> 2. Pumping information: This-section is only for systems that use pumps;siphons, or effluent filters. Please enter <br /> the data as appropriate or skip this section if your system does not have any of these components: Be sure to <br /> include manufacturer's specifications for all sections thatapply. <br /> a. Pump: Enter the manufacturer(MFG)and model of the pump. <br /> b. Hydrosplitter: If you are installing a hydrosplitter; enter the manufacturer and model. Hydrosplitter orifice <br /> selections must be obtained from the manufacturer. <br /> c. Effluent filter: If you are installing an effluent filter, enter the manufacturer and model information. <br /> d. Distribution valve: If you are installing a distribution valve, enter the manufacturer and model information. <br /> 3. Effluent transport piping information:The effluent sewer is the pipe that connects the outlet of the septic tank to <br /> the drainfield.The pressure piping is the pipe between the pump discharge and the drainfield. - <br /> a. Enter information about the gravity effluent sewer asfollows:_ <br /> Length: Is the length of the effluent sewer. <br /> Diameter: The diameter of the effluent sewer. - <br /> Material: Is the actual material from which the pipe is made, and its specification number--an example would <br /> be PVC 3034. - <br /> Fall: Is the difference in elevation, in inches, between the effluent sewer pipe at the outlet of the septic tank <br /> and <br /> the header pipe where it leaves the d-box. <br /> b. Ent information a ut pressure transport piping asfollows: <br /> Lenqt - Enter t ength of the pressure piping from the tank to the drainfield,the hydrosplitter, or the start-of <br /> the pres re etwork. <br /> Diameter: nter the diameter of the pressure piping that you are going to use. <br /> Materi . E er the actual material from which the pipe is made and its specification number--an example <br /> woul a PV 1120. °4 <br /> PS . Enter the ressure rating (pounds per square inch or PSI)of the pressure piping that you are going to <br /> u . <br /> 4. Disposal trenches: <br /> a. Distribution technique:Check the box next to the distribution technique you are going to use. <br /> b. Total Linear Footaqe: Is the total length of the perforated pipe,chambers,or other approved disposal media. <br /> It <br /> does not include headers or other solid pipe. <br /> c. Drain Media: Check the box to indicate which media you are going;to'use. Include the total depth of the • <br /> drainfield rock(if it is being used),and the depth of the drainfield rock below the pipe. <br /> d. Trench Depth: Is the,minimum and maximum depth of the trench below the original ground surface. <br /> e. Capping Fill Depth: If you ae constructing a capping fill drainfield, enter the depth of the fill material above the <br /> original ground surface. <br /> f. Setbacks from Wells: Enter the distance(in feet)from the well to the septic tank,to the sand filter or other <br /> treatment-.device, and tthe drainfield. <br /> 5. Dewatering Systems;:(If used;) <br /> a.` Check'the Lox next to•the dewatering system that is required. <br /> b.. Trench Depth: IS the depth of the dewatering trench below the original groundsurface. <br /> c. Drain'Media Check;the box to indicate which media you are going to use. Include the total depth of the- <br /> . <br /> drainfield rock(if it;is,being used), and,for a curtain drain,the depth of the drainfield rock below the pipe. If a <br /> curtain drain is required;filter fabric must be placed above the drain media. " <br /> d. Pertorated<Pipiriq:'Enter the diameter and material of the perforated piping that will be used. <br />
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