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Marion County Public Works <br /> -1M,'• 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 I t F jaky'ipY1 TAX LOT#U 3 E 7 D A o qco <br /> � SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> U SEPTIC TANK: MFG. CAPACITY MATERIAL <br /> ❑ DOSING TANK MFG. CAPACITY MATERIAL <br /> IX,SEPTIC/DOSING TANK ❑ SINGLE COMPARTMENT 1St TWO COMPARTMENT 0 FLOW-THROUGH. <br /> MFG. 4Wt A -tao CAPACITY i 13^ C-?P,\\p n MATERIAL 104-)v) •1 � <br /> MFG.'S SPECS.INCLUDED 0 <br /> 2. PUMPING ASSEMBLIES/� ES y� <br /> I <br /> PUMP 1: MFG. 6 i Vf C MODEL I�I3® 0 S (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING <br /> /� t' <br /> 0 GRAVITY EFFLUENT SEWER: LENGTH LP DIAMETER -1: MATERIAL P V C FALL(IN INCHES) Li4 <br /> ❑ PRESSURE PIPING: LENGTH I DIAMETER Pt-i MATERIAL vG PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL 0 LOOP 0 SERIAL .7K,PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD -ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH a DEPTH BELOW PIPE I0 <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN ISM MAX, 3C0 <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR AT I UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE 0 OTHER C <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC I <br /> PERFORATED PIPING: DIAMETER MATERIAL ^'`��, <br /> 6. ADVANCED TREATMENT UNITS tiJ Lk� /2. <br /> SAND FILTER 0 RGF ❑ AU: TYPE <br /> G:1BUILDING INSPECIIONWORMSISBPTICIFORMSIS-60 MATERIALS LIST.DOCX Rev 3/18 <br />