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Marion County Public Works <br /> .. . � Building Inspection Division <br /> 5155 Silverton Rd NE <br /> • Salem OR 97305 <br /> (503)588-5147 Fax(503)588-7948 <br /> http://www/co.marion.or.us <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 6?Ct 53 AJCAPik Ern/ 1-IA TAX LOT# 6 3(-:1'c Z PO G°O i <br /> SECTION TOWNSHIP RANGE LOT <br /> 63 SEPTIC TANKS ,. <br /> SEPTIC TANK MFG. I�'L �T�'A1'`� CAPACITY I(C-)e-Af:3 MATERIAL PkS1 <br /> DOSING TANK:MFG. CAPACITY MATERIAL <br /> SEPTICIDOSING TANK:❑SINGLE COMPARTMENT ❑TWO COMPARTMENT ❑FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> yo 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 /> HYDROSPUTTER MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) <br /> EFFLUENT FILTER MFG. MODEL <br /> DISTRIBUTION VALVE:MFG. MODEL <br /> EFFLUENT TRANSPORT PIPING <br /> GRAVITY EFFLUENT SEWER LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> PRESSURE PIPING: LENGTH Z DIAMETER I c S-! MATERIAL PUL PSI 3G6 <br /> �4. DISPOSAL FIELD(DRAMFlELD) <br /> DISTRIBUTION TECHNIQUE: ❑EQUAL ❑ LOOP ❑ SERIAL V"PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: S eetvg 1,2E l <br /> DRAIN MEDIA ['GRAVEL-LESS ABSORPTION METHOD ROCK&PIPE ❑ OTHER <br /> TOTAL DEPTH I.off-tr DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACER MIN f f MAX 76 <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR ATT UNIT DRAINFIELD <br /> DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑CURTAIN DRAIN ❑TILE DEWATERING TRENCH DEPTH: <br /> DRAIN MEDIA ElROCK&PIPE ElOTHER STATE C E RT f a D <br /> Environmental Health Specialist <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑FILTER FABRIC f'�, ;EH-S- 0 r 1..4 <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> lASt <br /> ADVANCED TREATMENT UNITS �`�I' ._- <br /> _--- <br /> 6❑SAND FILTER ❑RGF ® ATT: TYPE itvo 05 Lc- Robert Goodwin <br /> CAUSERSNSGARCIAIDTSKTOMS-60 MATERIALS L.LST DOC)C Rev 3/18 <br /> G6! <br />