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12015954
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Last modified
1/19/2024 8:00:17 PM
Creation date
1/19/2024 2:15:49 PM
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Permits
Permit Address
5295 ST LOUIS RD NE
Permit City
Gervais
Permit Number
555-20-002257-PRMT
Parcel Number
052W20 00300
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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�,���� Marion County Public Works RED <br /> ,lExpI4,�I I, <br /> ��� Building Inspection Division � _ <br /> ..�. _ 5155 Silverton Rd NE ri n E C _ <br /> Salem OR 97305 + <br /> (503)588-5147 Fax(503) 588-7948MN. <br /> FEB 28 2019 ._a <br /> http://www/co,marion.or.us <br /> MARiO 4 COUrrr <br /> BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 5 15 v C'�t. i 1\-t4 TAX LOT# ee'zi <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK: MFG. W 1�l 1.I; CAPACITY I���C-' MATERIAL t, <br /> L� <br /> ❑ DOSING TANK:MFG, �Vit� " CAPACITY a-VC MATERIAL 6;2,Z/L1. .C�Lt.- <br /> ❑ SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT ❑ TWO COMPARTME' D FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. C ) q�:-w i j MODEL pc- 1UCo 5 (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. v y2 0t MODEL 1 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT FILTER: MFG. 'DRe L-v MODEL NU (DS t S 19 A, <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> PRESSURE PIPING: LENGTH DIAMETER Z, MATERIAL PO C, PSI �-'E,k &4L) <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL % LOOP 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 6 2-- <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD )(ROCK&PIPE 0 OTHER • <br /> TOTAL DEPTH 12-Li DEPTH BELOW PIPE 10 ' 11 <br /> 1 <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN I e �� MAX �.1 <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK ( r SAND FILTER OR ATT UNIT DRAINFIELD �- r <br /> 5. DEWATERING (IF SYSTEMSREQUIRED) <br /> ❑ CURTAIN DRAIN D 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 0 ATT: TYPE <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />
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