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Marion County Public Works a I—6Le <br /> oil114„s <br /> ''�1,,,,,, Building Inspection Division <br /> _ 5155 Silverton Rd NE DECEIIE <br /> ' = 0 <br /> � • <br /> (503)588-5147 Fax(503)588-7948 <br /> 1.111. http://www/co.marion.or.us AUG. 25 2021 <br /> uulTrY <br /> c- <br /> aw DING'NspECTI®N <br /> ON-SITE SYSTEM MATERIAL LIST • <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 23 74k /j 'r ritnne", Gf/ r` TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS . <br /> SEPTIC TANK: MFG. •4it/L6 S CAPACITY, 16;°d MATERIAL /*O W <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 /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL • ❑ <br /> 3. EFFLUENT TRANSPORT PIPING , • 7 T / If • <br /> GRAVITY EFFLUENT SEWER: LENGTH g® DIAMETER a MATERIAL 7dI 7`7 FALL(IN INCHES) �� <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL 'PSI • <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP SERIAL 0 PRESSURIZED . <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE '<OTHER .4 2-70014 )141;' <br /> TOTAL DEPTH DEPTH BELOW PIPE •TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN Ay" MAX it).1 6 <br /> CAPPING FILL DEPTH(DEPTH OF CAP): F ' <br /> , ^ G 3 <br /> SETBACKS FROM WELLS: SEPTIC TANK . 75 SAND FILTER OR ATT UNIT DRAINFIELD 300 <br /> 5. DEWATERING SYSTEW(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 3. ADVANCED TREATMENT UNITS <br /> O SAND FILTER 0 'RGF 0 ATT: TYPE • <br /> 3:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />