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�,,� Marion County Public Works <br /> .III �'''a�u,,,� Building Inspection Division <br /> —yam 5155 Silverton Rd NE <br /> Salem OR 97305• <br /> ►r`� !� <br /> (503) 588-5147 Fax(503) 588-7948 'J <br /> http://www/co.marion.or.us <br /> l <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 11 67 g Do TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> (�(SEPTIC TANK: MFG. a/4( -� CAPACITY /U d d MATERIAL CO"r4 r '- <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT ❑ TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. MODEL ❑ <br /> HYDROSPLITTER: MFG. MODEL iINCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING • <br /> * GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL ay FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: k EQUAL ❑ O P 0 SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 3en' ( Q 5 <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER 2 /-I vLA <br /> TOTAL DEPTH DEPTH BELOW PIPE • <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 2.4 a MAX 3 6 u <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 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC STATE CERTIFIED <br /> Waste Water Specialist <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> -4 EH-W10147892 <br /> 6. ADVANCED TREATMENT UNITS <br /> `II J <br /> et <br /> O SAND FILTER 0 RGF ❑ ATT: TYPE • imberlee A.Aldrich <br /> • <br /> )-50L1 <br /> G.\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />