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• <br /> �,,� Marion County Public Works <br /> .1I+ �''tltrl,,,� Building Inspection Division <br /> 5155 Silverton Rd NE • <br /> Salem OR 97305 • <br /> MI (503) 588-5147 Fax(503) 588-7948 <br /> http://www/co.marion.or.us 21 V OD <br /> tif4I )0 <br /> • <br /> ON-SITE SYSTEM MATERIAL LIST <br /> � (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 2OCD 3 U{-) ` TAX LOT# <br /> . SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS . <br /> SEPTIC TANK: MFG. )CO Vkt CAPACITY, IOO v MATERIAL J ir\eilltke <br /> 0 DOSING TANK:MFG. • CAPACITY MATERIAL <br /> O SEPTIC/DOSING TANK 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS. INCLUDED <br /> 2. 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 0 <br /> HYDROSPLITrER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 ' <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING <br /> U , <br /> N u I <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH 0 0 DIAMETER 1 MATERIAL I) V C- FALL(IN INCHES) I <br /> O PRESSURE PIPING: LENGTH DIAMETER MATERIAL 'PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP ?IC/SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 'i- O I <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 'ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH 0" DEPTH BELOW PIPE .24" ' <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN LI O MAX `I 2- <br /> CAPPING FILL.DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> D CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE ' 0 OTHER • • <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC STATE CERTIFIED <br /> PERFORATED PIPING: DIAMEIER MATERIAL Waste Water Specialist <br /> EH-W101478926. ADVANCED TREATMENT UNITS - CI) <br /> ^- <br /> O SAND FILTER 0 'RGF 0 ATT: TYPE I. 4 4 • - 9► <br /> Kimberlee A Aldrich <br /> GAFORMSLSEPTICTORMSIS-60 MATERIALS LIST.DOCX Rev 3/18 -I Is 19- ' <br />