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�,,� Marion County Public Works <br /> 4i11 �'it,„ Alb Building Inspection Division <br /> • 5155 Silverton Rd NE <br /> _ Salem 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 17g6 13 I L l E. 1���,iLvYvl Or. Ti?b7 I TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK: MFG. CAPACITY MATERIAL <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> SEPTIC/DOSING TANK: ❑ SINGLE COMPARTMENT lei TWO COMPARTMENT 0, FLOW-THROUGH MFG. �C1� 'f', CAPACITY IcOO MATERIAL C.Or'1,Cvv..-4 <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES �^ <br /> PUMP 1: MFG. Or CO MODEL P 3O v b !1 1 (INCLUDE PERFORMANCE CURVE) ❑ <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. MODEL ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> • <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL • ❑ <br /> 3. EFFLUENT TRANSPORT PIPING • <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> �% PRESSURE PIPING: LENGTH 0 DIAMETER ( >i,f 1' MATERIAL PVC PSI 3 70 <br /> 5 c,l4�t0 <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: EQUAL ❑ LOOP ❑ SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: . 3 75 I <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD a ROCKK&PIPE ❑OTHER <br /> TOTAL DEPTH III" DEPTH BELOW PIPE " <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 1�{ MAX 6 I 1 <br /> 2. <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR ATT UNIT DRAINFIELD <br /> • <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> O CURTAIN DRAIN ❑ TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ROCK❑ &PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC STATE CERT+EEj• Ae 1 <br /> PERFORATED PIPING: DIAMETER MATERIAL EnvironmentalHealth5 ' <br /> tialist <br /> EH-S- <br /> 6. ADVANCED TREATMENT UNITS " _ <br /> ❑ SAND FILTER ❑ RGF ❑ ATT: TYPE <br /> Robert Goodwin • <br /> G:IFORMS\SEPTICWORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 3 - <br />