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r <br /> �,,� Marion County Public Works <br /> .111 �'''i„n,,,� Building Inspection Division <br /> 5155 Silverton Rd NE • <br /> ��%`�� �� Salem OR 97305 • <br /> ` ~"`'' (503)588-5147 Fax(503) 588-7948 <br /> http://www/co.marion.or.us <br /> ON-SITE SYSTEM MATERIAL LIST • <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS (111, <br /> to l'ICLQL. t G- SCLIer 11OK.,TAX LOT# 012 w Oq Abb0 I OO <br /> . SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS ' <br /> { <br /> SEPTIC TANK: MFG�Tiittu+'l1\"'' v''','16.0°:`.;s=CAPACITY 3 5Q®,')et'� MATERIAL C®`� 4rc�e. <br /> H <br /> 0 DOSING TANK:MFG. CAPACITY MATERIAL <br /> O SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT ❑ TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> 7 MFG.'S SPECS. INCLUDED <br /> I <br /> 2. PUMPING ASSEMBLIES 4\V'-`''`' :" ` I I A - • <br /> Li <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 _ . <br /> X GRAVITY EFFLUENT SEWER: LENGTH 2 C€4 DIAMETER 4 )nch MATERIALYVC 3Q? - FALL(IN INCHES) 41' i V1 Ch 2 S <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL 'PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL ❑ LOOP dyo�SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 3 'F$ r <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD ❑ROCK&PIPE kikOTHER Ez : f l 13 J 6-c-r S-p c •) <br /> TOTAL DEPTH ' -'4' ':�,--'` DEPTH BELOW PIPE . IJP • <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 12- 3- MAX s L O <br /> CAPPING FILL DEPTH(DEPTH OF CAP): 14 1 A �+ <br /> SETBACKS FROM WELLS: SEPTIC TANK 23-D e SAND FILTER OR ATT UNIT (. DRAINFIELD 27D t i <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) NIA <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING <br /> TRENCH DEPTH: ) STATE CERTIFIED <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER - Environmental Health Specialist <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC ,,'� <br /> :, EH-S-102 540 <br /> PERFORATED PIPING: DIAMETER MATERIAL 9.- . <br /> /��jl <br /> 6. ADVANCED TREATMENT UNITS i'q A Robert Goodwin <br /> 0 SAND FILTER ❑ 'RGF ❑ KIT: TYPE • <br /> k...., <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 . <br />