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Marion County Public Works �1 �� �� <br /> Building Inspection Division f 1. <br /> !l , (, ((����/ <br /> - - Ll V E (� <br /> 5155 Silverton Rd NE I I <br /> Salem OR 97305 j : LJ <br /> 41411 (503) 588-5147 Fax(503) 588-7948 MAY 02 20113 '— <br /> http://www/co.marion.or.us <br /> . CUUN i <br /> \it.-1 <br /> INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> • <br /> ADDRESS TAX LOT# t 6L/D606(06I <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS . <br /> • ❑ SEPTIC TANK: MFG. U..--1:>.\-\-e5 CAPACITY 1 bDl MATERIAL C)y cR <br /> ik <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> 0 SEPTIC/DOSING TANK 0 SINGLE COMPARTMENT 0 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) 0 <br /> CONTROL PANEL: MFG. MODEL 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING • <br /> fi <br /> IS! GRAVITY EFFLUENT SEWER: LENGTH DIAMETER 4/ MATERIAL,�63z-/ FALL(IN INCHES) ay <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE BOTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN c?Y MAX Q2-/9/ <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 <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER 0 'RGF 0 ATT: TYPE <br /> G:\PORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />