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• <br /> 14K,„41,,,,,, <br /> 4 Marion County Public Works <br /> 4�'R!i:�� t„ Building Inspection Division <br /> 5'155 Silverton Rd NE <br /> Salem OR 97305 <br /> .jjI <br /> (503)588-5147 Fax(503)588-7948 J 2 2 2016 Q <br /> http:Uwww/co.marion.or.us MARION COUNTY <br /> BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS. • Karat_ (__ <br /> TAX LOT#sEc�o TawNs <br /> HIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> (& SEPTIC TANK MFG. !iLlGit k- CAPACITY 1, 0 MATERIAL <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK ❑ SINGLE COMPARTMENT ❑ TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> RUMP is MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING <br /> GRAVITY EFFLUENT SEWER LENGTH COO ( DIAMETER 4111 MATERIAL 303'4 FALL(IN INCHES) 62.i+ <br /> o PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP PC..SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: (fig iv 1-i.S36 Ort <br /> DRAIN MEOW D GRAVEL-LESS ABSORPTION METHOD MOCK&PIPE 0-OTHER (Z-RC LA-) Osler <br /> TOTAL DEPTH 2 DEPTH BELOW PIPE t z` <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN ? MAX 7• <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK+ SAND FILTER OR ATT UNIT — DRAINFIELD /Cm, r '1" <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER <br /> - TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> O SAND FILTER 0 ROE 0 ATT: TYPE <br /> O:1FORMSISEPTICIFORMS1S-60 MATERIALS LIST.DOCX Rev 3/18 <br />