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Marion County Public Works <br /> i11 1,1,,,� Building Inspection Division �✓ S 19-0 za,0 r f\\ <br /> 5155 Silverton Rd NE � <br /> ��il`�—=� Salem OR 97305 { ' 'c� ' 11'riff <br /> (503) 588-5147 Fax(503)588-7948 I—� ''=' '1 ` I F� <br /> I)http://www/co.manon.or.us c, <br /> MAR 26 2019 G <br /> 14sr-\p iii)i COUNTY <br /> ON-SITE SYSTEM MATERIAL LIST IUILDING INSPECTION <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS =J d_ \\At..kf�,,,NA IA 8.q TAX LOT# <br /> cwakkw (yapSECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> • D SEPTIC TANK: MFG. LA)VA CASH CAPACITY, ) I 1 CO. MATERIAL ,{11M"` A.- <br /> 0 DOSING TANK:MFG. • CAPACITY MATERIAL <br /> ❑ 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) 0 <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <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 t �r ;) <br /> f <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH 16 DIAMETER MATERIAL ) FALL(IN INCHES) I V <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 14 EQUAL 0 LOOP 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: g.N`C) <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD nROCK&PIPE 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE �l <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN _ MAX aLA <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK S O SAND FILTER OR ATT UNIT DRAINFIELD 1160 <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> O CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER • <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> • <br /> 6. ADVANCED TREATMENT UNITS <br /> O SAND FILTER 0 'RGF 0 ATT: TYPE <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />