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Marion County Public Works <br /> Building Inspection Division <br /> 5155 Silverton Rd NE <br /> -;a"- � Salem OR 97305 <br /> LT (503) 588-5147 Fax(503) 588-7948 <br /> MN' http://www/co.marion.or.us <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS //�lt''ey TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK: MFG. CAPACITY MATERIAL <br /> 0 DOSING TANK:MFG. CAPACITY MATERIAL <br /> ASEPTIC/DOSING TANK: SINGLE COMPARTMENT ❑ TWO COMPARTMENT 0 FLOW-THROUGH <br /> 0 MFG. /A/4//z/5 CAPACITY .52:70 MATERIAL Le>[1L <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. Q(e v\C' MODEL p/ zoos- (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING <br /> 0 GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> PRESSURE PIPING: LENGTH 2LO DIAMETER ! ✓e/ if MATERIAL .P VC PSI 26C`ZU <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOPERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: USC� <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE a-OTHER (2. f/D(/v <br /> TOTAL DEPTH DEPTH BELOW PIPE • <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 2 Li MAX Z L/ <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK 5 l) "r/- SAND FILTER OR ATT UNIT DRAINFIELD /5-0 <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: V 57 _ <br /> DRAIN MEDIA: ❑ROCK&PIPE OTHER El -(b w <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER `7 " MATERIAL 47 VC <br /> rt. D6. ADVANCED TREATMENT UNITS 9: I !! "� <br /> ❑ SAND FILTER ❑ 'RGF 0 ATT: TYPE <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />