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8630399
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Last modified
5/23/2019 8:33:39 AM
Creation date
5/22/2019 11:02:53 AM
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Permits
Permit Address
6017 HOLLOW STUMP LN SE
Permit City
SALEM
Permit Number
555-18-006171-PRMT
Parcel Number
082W21B 01800
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Marion County Public Works �� [ p ,(/1T'44'6 Building Inspection Division1_ ?--006° <br /> - <br /> 5155 Silverton Rd NE D E© -� _ �/ M <br /> Salem OR 97305 <br /> (503)588-5147 Fax(503)588-7948 . AUG 1 0 2018 .../)http://www/co.marion.or.us <br /> MARION COUNTY <br /> BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 6 O ( 7 /—Zi/no . A'mr L, 5/= TAX LOT# /fib <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK: MFG. CAPACITY MATERIAL <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK: ❑ SINGLE COMPARTMENT ❑ TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES <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 DIAMETER MATERIAL FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL ❑ LOOP pr(SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: •❑GRAVEL-LESS ABSORPTION METHOD ,ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH I DEPTH BELOW PIPE 6 <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN MAX 24 <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK /00SAND FILTER OR ATT UNIT DRAINFIELD /00 74 <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER ❑ RGF ❑ ATT: TYPE <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />
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