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Marion County Public Works <br /> • ,it kkg"14"' Building Inspection Division <br /> 5155 Silverton Rd NE <br /> —�1�% lie Salem OR 97305 <br /> MI (503)588-5147 Fax(503)588-7948 <br /> http://wvvvv/co.marion.or.us <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 2$ I k 1 L,,c,7 S 5e.l�rt TAX LOT# <br /> / SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> It SEPTIC TANK: MFG. V A.i .<1 CAPACITY I i�t9D MATERIAL - C on C 0-4 <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK: ❑ SINGLE COMPARTMENT 0 TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS.INCLUDED <br /> r <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. ©S I MODEL • <br /> P_ �v (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. C)f edi L O MODEL 5 I 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 /> 0 GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> x PRESSURE PIPING: LENGTH /1/0 DIAMETER / Y f MATERIAL f2V L PSI 2 gO <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL ❑ LOOP $ SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: I . 2 _ // <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION/ METHOD ❑ROCK&PIPE OTHER 6 2- �/tc'i In/ <br /> " ! <br /> TOTAL DEPTH 14 DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 30 MAX 362 <br /> CAPPING FILL DEPTH(DEPTH OF CAP2: i , <br /> SETBACKS FROM WELLS: SEPTIC TANK Z SAND FILTER OR AU UNIT 2kCCI DRAINFIELD I <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRI STATE CERTIFIED <br /> PERFORATED PIPING: DIAMETER MATERIAL Environmental Healt pect.ist <br /> is EH-S 15.,.4- <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER ❑ RGF . ATT: TYPE/¢-y -2, , R r ®v;,r ��i <br /> 1 VI <br /> Roo �rtt .odwin ... . <br /> 1I G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 '�� ‘ 5' <br />