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Marion CountyPublic Works D ECEOVED <br /> �,,, P b <br /> ,aI �'''IIu,,,. Building Inspection Division JAN 0� 2021 <br /> _ 5155 Silverton Rd NE <br /> ����. �� Salem OR 97305 IiARl�ly Oo11N T-y <br /> (503)588-5147 Fax(503)588-7948 BUILDING If'�ISP <br /> http://www/co.marion.or.us ��TI�i1 <br /> ON-SITE SYSTEM MATERIAL LIST • 9-2 _ <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 3 Z6, - I,silt"C` 1-1:4,j . „ 4 . °` TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ' CISEPTIC TANK: MFG. ./ .`, ii,,,6,4 rig,g•4,r CAPACITTY I i J .'f'f-.2 >�I MATERIAL �., ...• f .,1s� r <br /> ❑ DOSING TANK MFG. CAPACITY MATERIAL <br /> O SEPTIC/DOSING TANK El SINGLE COMPARTMENT ❑ TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES • / - <br /> ' PUMP 1: MFG. r MODEL,.; (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. if / MODEL _ (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. / 1¢ MODEL 0 <br /> HYDROSPLITTER: MFG. i '' ,,I ibbrEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. /P / /MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. / V / MODEL ❑ • <br /> 3. EFFLUENT TRANSPORT PIPING . <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL; .FALL(IN INCHES) • <br /> ❑ PRESSURE PIPING: LENGTH ;` .9 DIAMETER :-/ MATERIALf 4 .. PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: Er EQUAL 0 LOOP 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 2. Z C" <br /> DRAIN MEDIA: iz GRAVEL-LESS ABSORPTION METHOD ❑ROCK&PIPE ❑OTHER F... 4.74(4 I/ <br /> TOTAL DEPTH i g <br /> ,t DEPTH BELOW PIPE • 4 ' <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 1 MAX MAX 2. i-) .4., <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR KIT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING • ' <br /> TRENCH DEPTH: • <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER • - • <br /> TOTAL DEPTH DEPTH BELOW PIPE y 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL ` <br /> 6. ADVANCED TREATMENT UNITS • <br /> • <br /> ❑ SAND FILTER ❑ 'RGF 0 ATT: TYPE . • <br /> • <br /> G:\FORMS\SEPTIC\FORMS\S-00 MATERIALS LIST.DOCX Rev 3/18 <br />