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16-O b 55 I ti <br /> �,,� Marion County Public Works <br /> �'''�'N,,� Building Inspection Division <br /> 5155 Silverton Rd <br /> � 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 5 7/7 _ TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> SEPTIC TANK: MFG. G i 'C CAPACITY , G v V . MATERIAL C d vt CC <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) ❑ <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. MODEL ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING • <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH 2 J DIAMETER `I + MATERIAL FALL(IN INCHES) /( <br /> O PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: rI EQUAL 0 LOOP ❑ SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 11 s-0 <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE (12-OTHER E Z F I°w S t0 I P <br /> TOTAL DEPTH DEPTH BELOW PIPE 1 <br /> .. <br /> ` <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 1 MAX n <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 ,0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> O SAND FILTER 0 'RGF 0 ATT: TYPE <br /> • <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />