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8565023
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Last modified
3/25/2019 9:09:05 AM
Creation date
3/19/2019 4:35:09 PM
Metadata
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Template:
Permits
Permit Address
5695 FERSCHWEILER LN NE
Permit City
WOODBURN
Permit Number
555-18-006520-PRMT
Parcel Number
052W21B 00900
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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�,,� Marion County Public Works <br /> .SII �'''i�u,,,i� Building Inspection Division <br /> 5155 Silverton Rd NE <br /> Salem OR 97305 <br /> (503) 588-5147 Fax(503) 588-7948 <br /> http://www/co.marion.or.us <br /> OVOSZ <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS ,4-4f_3,5" f=, Relw, '4r,' /.tJde,, ,qe.L n> TAX LOT# os-,PWA/.A enenAnn <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK: MFG. :' CAPACITY MATERIAL ; . . <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> f9"SEPTIC/DOSING TANK: ❑ SINGLE COMPARTMENT 53'.-TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. /,44/T7A- CAPACITY /560 MATERIAL ZtvvG'..' '7'f <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. n,e`c'41i_;'n MODEL Pr-in/JAW (INCLUDE PERFORMANCE CURVE) ❑ <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. (0,04-A/495 MODEL , / ,d:ian,t fA®C ❑ <br /> HYDROSPLITTER: MFG. "Pv.eA),.4e, MODEL ,41,5W/no...4.41.6B (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 /> e PRESSURE PIPING: LENGTH ./04 DIAMETER !�' MATERIAL, r-A,PtriA PSI ."An <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: EV/EQUAL ❑ LOOP ❑ SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: -4•6?) � <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 11 CK&PIPE ❑OTHER <br /> TOTAL DEPTH /,2 .o�) DEPTH BELOW PIPE G� <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN .44 MAX SC <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK �a,,1 SAND FILTER OR ATT UNIT DRAINFIELD /('4' / <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 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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