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�,,� Marion County Public Works <br /> ,ia ''�����,,,� Building Inspection Division <br /> 5155 Silverton Rd NE �I_d ocef e-ffery lT <br /> %// A Salem OR 97305 . <br /> mi (503) 588-5147 Fax(503) 588-7948 <br /> http://www/co.maricin.or.us <br /> FEB 2 2021 <br /> ON-SITE SYSTEM MATERIAL LIST r`-` COUNTS: <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS %OS I g'-L W Ot-'T Yry i j� TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> • <br /> 1. SEPTIC TANKS <br /> Eil SEPTIC TANK MFG. CAPACITY, MATERIAL <br /> 0 DOSING TANK:MFG. CAPACITY • MATERIAL <br /> ❑ SEPTIC/DOSING TANK: ❑ SINGLE COMPARTMENT A TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. ! /.4-t� t'C <br /> CAPACITY !S' 14:-) MATERIAL <br /> ERIAL at'rC- <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES i • <br /> PUMP 1: MFG. C9 c-% / MODEL ) (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2:.MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. Ca.-C/ MODEL i 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> ,iiIL PRESSURE PIPING: LENGTH /S DIAMETER eV' MATERIAL PVC- PSI ..2f2IZ) <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: /�❑ EQUAL 0 LOOP 0 SERIAL XPRESSURIZED <br /> TOTAL LINEAR FOOTAGE: /.. "2° .5"4- p#.4s - I <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN ie. `' MAX 36 f <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR An UNIT DRAINFIELD <br /> 5. DEWATERING SYSTENJS(IF REQUIRED) EXPIRED <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC n I L <br /> PERFORATED PIPING: DIAMETER MATERIAL 4oLIPIV v eejJegwi>1 <br /> i <br /> 3. ADVANCED TREATMENT UNITS , <br /> ❑ SAND FILTER ❑ 'RGF 0 ATT: TYPE 6BLVl0OA-NB <br /> lslleioadS Ja1eM aise, <br /> 031d11830 31V1S <br /> T\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 w1 <br /> 1 <br />