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10512760
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Last modified
6/25/2021 8:00:14 PM
Creation date
6/25/2021 2:20:25 PM
Metadata
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Template:
Permits
Permit Address
111 CENTRAL AVE W
Permit City
GATES
Permit Number
555-21-002688-PRMT-01
Parcel Number
093E27DD00400
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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D ECS TV-R <br /> Marion County Public Works MAR 25 2021 <br /> Building Inspection Division <br /> I�IION <br /> 5155 Silverton Rd NE COUNTY <br /> Salem OR 97305 BUILDING INSPECTION <br /> (503)588-5147 Fax(503)588-7948 <br /> 11111/ http://vAvw/co.madon.or.us <br /> ON-SITE SYSTEM MATERIAL LIST <br /> 1 (DIRECTIONS&DEFINITIONS ON BACK) <br /> i/fADDRESS t4 6b1bz I Ave TAX LOT# <br /> /y,/� SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS � S t`�`` <br /> SEPTIC TANK MFG. I/IIGi CAPACITY v.-0U MATERIAL (.24.4i-✓Ye. <br /> POSING TANK:MFG. CAPACITY MATERIAL <br /> SEPTIC/DOSING TANK 0 SINGLE COMPARTMENT ❑TWO COMPARTMENT ❑FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> Pau £^cP61+11120h'ri-s, 1361C 0 MFG.'S SPECS.INCLUDED <br /> 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 /> QISTRIBUTION VALVE:MFG. MODEL <br /> 3. EFFLUENT TRANSPORT PIPING <br /> GRAVITY EFFLUENT SEWER LENGTH S DIAMETER 1-(<< MATERIAL PLC- FALL(IN INCHES) 1^'1. P�q, <br /> PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> ,141"---DISPOSAL FIELD(DRAINRELD) <br /> DISTRIBUTION TECHNIQUE ❑EQUAL ❑LOOP 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> / DRAIN MEDIA ❑GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE ❑ OTHER <br /> TOTAL DEPTH DEPTH SEWN 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 /> �QEWATERING SYSTEMS(IF REQUIRED) <br /> 0 CURTAIN DRAIN ❑TILE DEWATERING TRENCH DEPTH: <br /> DRAIN MEDIA ❑ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> ADVANCED TREATMENT UNITS <br /> ❑SAND FILTER ❑RGF 0 All:TYPE <br /> C:\USERS\SGARCIA\DFSKTOPLS-60 MATERIALS LIST.DOCX Rev 3/18 <br />
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