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�,�� Marion County Public Works <br /> ��iI �'''i���,,, Building Inspection Division <br /> 5155 Silverton Rd NE <br /> Salem OR 97305 • <br /> Est° (503) 588-5147 Fax(503) 588-7948 <br /> http://www/co.marion.or.us <br /> ON-SITE SYSTEM MATERIAL LIST - <br /> / Q ++ (DIRECTIONS�� &DEFINITIONS ON BACK) q Q <br /> ADDRESS (ag 5 V 1 t e OVb , 6. ) TAX LOT# DZ 3 IJ 11 Coo 606 <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> VSEPTIC TANK: MFG. ttii/raale 6645114 CAPACITY, /5) 6, MATERIAL 6DCe.ij E_ <br /> ❑ 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) ❑ <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 N ,/ L(O <br /> FF (%V <br /> [�' GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> O 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: A/6;9 <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD E ROCK&PIPE p OTHER <br /> !r - <br /> TOTAL DEPTH ..2 •:_ DEPTH BELOW PIPE ' roll' <br /> /i D30U <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 2(p MAX ,.2 K �1 50 UI_ reetied <br /> CAPPING FILL DEPTH(DEPTH OF CAP): 0.6 <br /> SETBACKS FROM WELLS: SEPTIC TANK /On I SAND FILTER OR ATT UNIT DRAINFIELD `'+ (CO <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 16 r2.‘ (72 <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />