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Marion County Public Works <br /> , 44114641,' liti4„.. <br /> • ._ 4,4,.. Building Inspection Division 11-1 E C E i\ V 9 ni <br /> ___,...,.......„ ,, 5155 Silverton Rd NE <br /> ---=—.---tp., Salem OR 97305 . L 11 DEC 2 2 2020 '---- <br /> (503)588-5147 Fax(503)588-7948 <br /> MI http://www/co,marion.or.us MARION COUNTY <br /> BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST - <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> . . . <br /> i . <br /> ADDRESS 11&2 SE r--- (S\k.NiN OS\A., TAX LOT# <br /> . SECTION TOWNSHIP RANGE LOT <br /> '1. SEPTICTANKS • <br /> ':Iii SEPTIC TANK: MFG. \A)Ckt\&- CAPACITY 100 a MATERIAL 0 0111 <br /> 0 DOSING TANK:MFG, ' CAPACITY MATERIAL <br /> • 0 SEPTIC/DOSING TANK: o SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> JVIFG,'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES • • . <br /> . . <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. A i A MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. /V MODEL , 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING • <br /> 3 l <br /> i('_U\ W...142:- P1-5-011 <br /> 4RAVITY EFFLUENT SEWER: LENGTH 12 1 DIAME i hH ili q ' MATERIAL FALL(IN INCHES) 5034 <br /> 0 PRESSURE PIPING: LENGTH DIAMETER MATERIAL 'PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP )2/SERIAL , 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: „ . <br /> - <br /> --- <br /> DRAIN MEDIA OTGRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER . t 7. -F1'0 ____----' <br /> TOTAL DEPTH ' DEPTH BELOW PIPE . • ‘.- <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 244 ' MAX 3D <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK 2.00 . *SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> 0 CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: N lk <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER • • <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL ,. <br /> ' . <br /> 6. ADVANCED TREATMENT UNITS N/k • . <br /> 0 SAND FILTER 0 ‘RGF 0 NIT: TYPE - <br /> * . <br /> G:IFORMS1SEPTIC1FORMS1S4O MATERIALS L1ST.DOCX Rev 3/18 <br /> • <br />