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12349394
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Last modified
8/30/2024 3:42:19 PM
Creation date
8/28/2024 10:54:45 AM
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Template:
Permits
Permit Address
15192 LIBBY LN SE
Permit City
Jefferson
Permit Number
555-23-008223-PRMT
Parcel Number
102W05 00100
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Marion County Public Works v E <br /> iII ml„M" Building Inspection Division <br /> 5155 Silverton Rd NE St? 26 2023 <br /> Salem OR 97305 <br /> (503)588-5147 Fax(503)588-7948 MvlARION COUNTY <br /> http://www/co.marion.or.us BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS :I 5/ G�66 `tY �' TAX LOT# <br /> nf SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS 1 wc <br /> SEPTIC TANK MFG. \rcl i le-- CAPACITY f moo MATERIAL Cta.,c r ark <br /> DOSING TANK:MFG. CAPACITY MATERIAL <br /> SEPTIC/DOSING TANK:El SINGLE COMPARTMENT ❑ TWO COMPARTMENT ❑FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> El 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. ODEL (INCLUDE ORIFICE CALCULATIONS) <br /> EFFLUENT FILTER: MFG. MODEL <br /> DISTRIBUTION VALVE:MFG. MODEL <br /> 3. EFFLUENT TRANSPORT PIPING o ) p 1 II <br /> GRAVITY EFFLUENT SEWER: LENGTH 7.,2® DIAMETER '-/ MATERIAL P Vv. FALL(IN INCHES) ZO <br /> PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL ❑ LOOP El SERIAL ❑PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD El ROCK&PIPE ❑ 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 ORATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑TILE DEWATERING 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 /> EI SAND FILTER ❑RGF ❑ ATT: TYPE _ <br /> C:\USERS\SGARCIA\DESKTOP\S-60 MATERIALS LIST-DOCX Rev 3/18 <br />
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