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• <br /> „Ai„_;;;;.!„,, Marion County Public Works <br /> � Building Inspection Division • ___, <br /> f l <br /> INN <br /> ���—"��,�= 5155 Sdverton Rd NE AUG 1 <br /> ������ Salem OR 97305 8 2Q2 <br /> (503)588-5147 Fax(503)588-7948 <br /> http://www/co.marion.or.us ' r ; .:�.,_ _ 3 <br /> LAL fN( INSPECT iO' <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS —7c3&'-( Le..4,51-, C€.r,1.Ttr 12.d TAX LOT# <br /> S Ole... SECTION TOWNSHIP RANGE LOT <br /> SEP11C TANKS <br /> �� <br /> SEPTIC TANK: MFG. CAPACITY MATERIAL <br /> 1 S.t POSING TANK MFG. CAPACITY MATERIAL <br /> SEPIICJDOSING TANK:El SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> 0 MFG.'S SPECS.INCLUDED <br /> ,),A('UMPING ASSEMBLIES <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2 MFG. MODEL (INCLUDE PERFORMANCE CURVE) <br /> CONTROL PANEL: MFG. MODEL <br /> HYDROSPIJTTER MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) <br /> EFFLUENT FILTER MFG. MODEL <br /> DISTRIBUTION VALVE MFG. MODEL <br /> 0 EFFLUENrTRANSPORT PIPING 44 ,J <br /> GRAVITY EFFLUENT SEWER LENGTH Gd I DIAMETER Z i MATERIAL IAUC-FALL(IN INCHES) Pro 4- <br /> PRESSURE PIPING: LENGTH DIAMETER MATERIAL — PSI <br /> 4. DISPOSAL FIELD(MAMMA <br /> DISTRIBUTION TECHNIQUE M EQUAL I=1 LOOP ❑ SERIAL 0 PRESSUR)3 <br /> TOTAL LINEAR FOOTAGE: 5 <br /> DRAIN MEDIA 0 GRAVEL-LESS ABSORPTION METHOD El Rocks PIPE El OTHER <br /> if <br /> TOTAL DEPTH /Z_ DEPTH BELOW PIPE 6 r r <br /> TRENCH DEPTH(FROM ORIGINAL GROUNDSURFACE) MIN 16-' MAX Z!O r r <br /> CAPPING FILL DEPTH(DEPTH OF CAP): — <br /> SETBACKS FROM WELLS: SEPTIC TANK — SAND FILTER OR ATT UNIT DRAINFIELD I GC! (,f <br /> ,QEWATERING SYSTEMS(IF D) <br /> El CURTAIN DRAIN El TILE DEWATERING TRENCH DEPTH: <br /> DRAIN MEDIA: El ROCK&PIPE El OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑FILTER FABRIC ; STATE CERTIFIED <br /> PERFORATED PIPING: DIAMETER MATERIAL. Environmental Health Specialist <br /> �' .. EH-S-10 6540 <br /> . ADVANCED TREATMENT UNITS 54-.. v <br /> SAND FILTER D RGF 0 ATT:TYPE <br /> C:\USERMSGARCIAIDESKTOP'S-60 MATERIALS LKT_DOCX Rev 3/18 Robert Goodwin <br /> 81 Imo+ <br />