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• <br /> �,,,�� Marion County Public Works 2�— 0� I 3 6 o {�2.tii r , <br /> ..,,I 1..„ ,,ii: Building Inspection Division <br /> ����S5155 Silverton Rd NE <br /> •�,_ !//"�� Salem OR 97305 D v . <br /> (503) 588-5147 Fax(503)588-7948 <br /> MIK • http://www/co.marion.or.us FEB 16 2024 <br /> 'MARION COUNTY <br /> ON-SITE SYSTEM MATERIAL LIST • <br /> BUILDING INSPECTION <br /> • <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> • <br /> ADDRESS 6 6 . TAX LOT# <br /> 5T (*GI' <br /> -1 13 <br /> 7 . SECTION TOWNSHIP,RANGE LOT <br /> (* <br /> 1. SEPTIC TANKS K• . 1l �' <br /> ' 0 SEPTIC TAN MFG.Loo a 1 ' t, CAPACITY, MATERIAL el0 ii-c 1'Y _ <br /> - '- - 0 DOSING TANK MFG. CAPACITY MATERIAL <br /> • ❑ SEPTIC/DOSING TANK XSINGLE 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) 0 <br /> PUMP 2: MFG. MODEL . (INCLUDE PERFORMANCE CURVE) 0. • <br /> CONTROL PANEL: MFG. MODEL ❑ • <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 �I MATERIAL/485 FALL(IN INCHES) i <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL •PSI- <br /> 1 <br /> 4. DISPOSAL FIELD(DRAINFIELD) . <br /> DISTRIBUTION TECHNIQUE: . EQUAL U <br /> (� `n�i 0 LOOP <br /> ,,1' ❑ SERIAL ►❑ PRESSURIZED <br /> - TOTAL LINEAR FOOTAGE ' Acp\ICA S irlq• •& u s i- u co' , . <br /> DRAIN MEDIA 0 GRAVEL-LESS ABSO %ON METHOD XROCK&PIPE 0 OTHER . <br /> � <br /> TOTAL DEPTH /a DEPTH BELOW PIPE • 4 ' <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN MAX <br /> • CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR ATT UNIT DRAINFIELD <br /> • <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERINO • • <br /> TRENCH DEPTH: - • <br /> DRAIN MEDIA ❑ROCK&PIPE 0 OTHER • <br /> (TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC . • ----1 <br /> ..) <br /> • PERFORATED PIPING: DIAMETER MATERIAL ` , <br /> STATE CERTIFIED ;/ . <br /> \ 1� Environmental Health Specialist f • <br /> 6. ADVANCED TREATMENT UNITS EH-S-10227575 1,,,j' <br /> .❑ SAND FILTER ❑ sRGF ❑ ATT: TYPEE r-;{ <br /> • <br /> G:\FORMS\SEPTICIFORMS1S-§0 MATERIALS LIST.DOCX Rev3/18 ' Aldan 8ammec <br /> 2072e21>•1 - • <br />