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8623920
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Last modified
5/16/2019 8:31:14 AM
Creation date
5/15/2019 2:19:08 PM
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Template:
Permits
Permit Address
7977 MOSIER ST SE
Permit City
SALEM
Permit Number
555-19-000836-PRMT
Parcel Number
082W23B 01000
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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� Marion County Public Works <br /> • ���I "��� Building Inspection Division <br /> �����»`_ 5155 Silverton Rd NE G b 00 G�li`��� Salem OR 97,305Fr-) <br /> • <br /> • (503)588-5147 Fax(503)588-7948 i S <br /> http://www/co.marion.or.us ! <br /> FEB 0 4 2019 <br /> ON-SITE SYSTEM MATERIAL LIST • '`'`'` COUNTY <br /> Y <br /> (DIRECTIONS&DEFINITIONS ON BACK) aiiiLDING INSPECTION <br /> • <br /> ADDRESS TAX LOT.# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> • c SEPTIC TANK: MFG. I T-e' S <br /> . �4 CAPACITY /.5V® MATERIAL Cro'LU C— <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> O SEPTIC/DOSING TANK: D. SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. • CAPACITY MATERIAL <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES • <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2:.MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. MODEL ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING • <br /> lI <br /> g GRAVITY EFFLUENT SEWER: LENGTH 70 DIAMETER Li " MATERIAL 7031 FALL(IN INCHES) l/ <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL .PSI • <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP L:SERIAL 0 PRESSURIZED • <br /> TOTAL LINEAR FOOTAGE: Sao <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER IF7-"P104-0 <br /> TOTAL DEPTH DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 2'l n MAX 2 s' " <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) <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER 0 'RGF ❑ ATT: TYPE • <br /> • <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />
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