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�,,�� Marion County Public Works Op- 0057 <br /> III '°����,� Building Inspection Division <br /> _ ii9 C �M15, � <br /> - 5155 Silverton Rd NE <br /> f��� `` Salem OR 97305 <br /> (503)588-5147 Fax(503)588-7948 NOV 02 2022 <br /> http://www/co.marion.or.us <br /> MARION COUNTY • <br /> BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST - <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS ,c515 S44,(A/iii.vci Sc_. TAX LOT# • <br /> 'AC)/47S r/r ik- Cie 9 .? SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> 1 SEPTIC TANK: MFG 4_:C 2 ,1 CAPACITY &Jak MATERIAL .vc��.�°' e. <br /> • DOSING TANK MFG. CAPACITY MATERIAL _ <br /> ❑ SEPTICIDOSING TANK: ❑ SINGLE COMPARTMENT D TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL • <br /> - MFG.'S SPECS.INCLUDED 0 <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 /> HYDROSPLrTTER MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG._ MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH -347 i DIAME 1 r.R 'Y i' MATERIAL,Q.r✓j ic,FALL(IN INCHES) A/ " <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI - <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE ❑ EQUAL ❑ LOOP >5C SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: /01) r*il`k • /�/ <br /> DRAIN MEDIA ❑GRAVEL-LESS�AA SOOIRPTION METHOD 0 ROCK&&,PIPE OTHER i-TIGG <br /> TOTAL DEPTH 15 Z'' DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN .>:.y MAX 30 <br /> CAPPING FILL DEPTH(DEPTH OF CAP): - <br /> SETBACKS FROM WELLS: SEPTIC TANK , SAND FILTER OR ATT UNIT DRAINFIELD <br /> l-- <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING - <br /> . TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER STATE CERTIFIED <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FAB`iC Environmental Health Specialist <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 0,::: EH 5-102 6540 <br /> AL . <br /> 6. ADVANCED TREATMENT UNITS �, � A <br /> ❑ SAND FILTER ❑ RGF ❑ ATT: TYPE Robert Goodwin • <br /> G:IBUILDING INSPECTION FORMSISEPTICWORMSIS-60 MATERIALS LIST.DOCX Rev 3/I8 IJ a'?:ai <br />