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• <br /> Marion County Public Works Building Inspection Division g 1 — --It <br /> 8 <br /> 5155 Silverton Rd NE �� <br /> Salem OR 97305 Q t C- v/ <br /> (503)588-5147 Fax(503)588-7948 <br /> http://www/co.marion.or.us `� S JAN 28 2021 <br /> EXPIRED ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) 3UILDING INSPECTION <br /> N <br /> ADDRESS &--1"7 4j 71,c, sue... / �� �,,� TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> -SEPTIC TANK: MFG. 0-"?CC.,!T&S CAPACITY / - ' MATERIAL 1.av—L-- <br /> DOSING TANK:MFG. CAPACITY MATERIAL <br /> SEPTIC/DOSING TANK: SINGLE COMPARTMENT TWO COMPARTMENT FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG_'S SPECS_ INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. Ur'.••••-CZ) MODEL 3‘).dS (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. 1.7*,r1/4 Cd 1ti - MODEL /' 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ? <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL <br /> 3. EFFLUENT TRANSPORT PIPING <br /> • IT GRAVITY EFFLUENT SEWER: LENGTH DIAME I ER MATERIAL FALL(IN INCHES) <br /> PRESSURE PIPING: LENGTH ! DIAMETER 1;� � MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: EQUAL L LOOP SERIAL 173 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: /.3 Y <br /> DRAIN MEDIA GRAVEL-LESS ABSORPTION METHOD 2 ROCK&PIPE [THER t057. <br /> TOTAL DEPTH _ DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN Y MAX 'Zy <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> - CURTAIN DRAIN T TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ROCK&PIPE OTHER STATE CERTIFIED <br /> TOTAL DEPTH DEPTH BELOW PIPE - FILTER FABRIC Environmental Health Specialist <br /> PERFORATED PIPING: DIAME I ER MATERIAL C7N EH- 10 <br /> 6. ADVANCED TREATMENT UNITS <br /> - SAND FILTER - RGF VATT: TYPE Q of Robert Goodwin • <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 i11(41)-( <br />