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12014317
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Last modified
1/18/2024 8:00:16 PM
Creation date
1/18/2024 10:56:11 AM
Metadata
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Template:
Permits
Permit Address
3939 RIVERDALE RD S
Permit City
Salem
Permit Number
555-23-009795-PRMT
Parcel Number
083W06C 00300
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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a3'rV v Y -151 5 <br /> �� 4 <br /> Ire ! \L. ii_ 4' <br /> Marion County Public Works 3 0 f-� <br /> ..0 Building Inspection Division N�� 2�23 <br /> `"���= 5155 Silverton Rd NE MARION f,'�." 1i`•',f :` <br /> ���:v Salem OR 97305 BUILDING INSl EL1 ice:'! <br /> im. . <br /> (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 313c g(vc+-e&(k 12P--( 'C1.em TAX LOT# O9-S G 6 C ck xc <br /> SECTION TOWNSHIP RANGE LOT <br /> SEPTIC TANKS <br /> X SEPTIC TANK: MFG. .312f1`f-�F� CAPACITY 1,5� MATERIAL pj4 <br /> Li DOSING TANK:MFG. CAPACITY MATERIAL <br /> O SEPTIC/DOSING TANK: 7 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS.INCLUDED ❑ <br /> PUMPING ASSEMBLIES <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL U <br /> HYDROSPLITTER: MFG. MODEL _ (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> a EFFLUENT TRANSPORT PIPING 'J <br /> Iit GRAVITY EFFLUENT SEWER: LENGTH N r DIAMETER _[ MATERIAL RUC- FALL(IN INCHES) / ' 4- <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL • PSI <br /> _44,-- DISPOSAL FIELD(DRAINFIELD) EX 6 1-17-3 <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL 7 LOOP ❑ SERIAL ❑ PRESSURIZED <br /> TOTAL UNEAR FOOTAGL: <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER <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 /> �5lDEWATERING SYSTEMS(IF REQUIRED) <br /> Li CURTAIN DRAIN ❑ TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE L OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE _ ❑ FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> & DVANCED TREATMENT UNITS <br /> O SAND FILTER 0 RGF 0 ATT: TYPE 0 \( <br /> F:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br /> Obl ck6� ,L1 <br />
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