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• <br /> -QECE[IV <br /> Marion County Public Works <br /> � �o <br /> ,III Building Inspection Division 201� <br /> 5155 Silverton Rd NE MAIMIOVN COUNTY? <br /> ___ Salem OR 97305 BUILDING INSPECTION <br /> mg, (503) 588-5147 Fax(503) 588-7948 <br /> http://www/co.marion.or.us 1 Cl5C45 g3741 <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS to 1piS Sez-iv1/4)&ier 04 Se- S\e- v 1QV-• `I1311 TAX LOT# 082-WO3C 015 o k <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ' 0 SEPTIC TANK: MFG. CAPACITY, MATERIAL <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> X SEPTIC/DOSING TANK 0 SINGLE COMPARTMENT TWO COMPARTMENT ❑ FLOW THROUGH <br /> MFG. WciA'c- CAPACITY. 1500 MATERIAL Cohcrer <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES ' <br /> r 5PERFORMANCE <br /> PUMP 1: MFG. � e,tlCO MODEL 'P�?j00 �� (INCLUDE CURVE) �( <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. MODEL o - -10., 0 <br /> 200Oa <br /> HYDROSPLITTER: MFG. OYcnCO MODEL HSA (INCLUDE ORIFICE CALCULATIONS) <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING • <br /> If <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER y MATERIAL S03I4 FALL(IN INCHES) (8(a <br /> ❑ PRESSURE PIPING: LENGTH 40 DIAMETER Z MATERIAL Sc•V% 4.0 'PSI 480 <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL ❑ LOOP X SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: LIS5 <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 'ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH t 2- DEPTH BELOW PIPE • (a ..II <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN I$ MAX 2`t <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK St?i- SAND FILTER OR ATT UNIT DRAINFIELD DO 1- <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER • ' <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER 0 'RGF 0 ATT: TYPE <br /> G:WORMS\SEPTIC\PORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />