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, Marion County Public Works <br /> ,,,,�� <br /> • ,,i+ ' `'',� Building Inspection Division • <br /> 5155 Silverton Rd NE <br /> Salem OR 97305 <br /> -r•: '� '` -."• (503)588-5147 Fax(503)588-7948 <br /> http://www/co.marto n.or.us <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) • <br /> + <br /> ADDRESS X 6755 Qct f Pc 5 lepp) alt TAX LOT# 09 11) o Ip <br /> D 960 <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEP TANKS • <br /> SEPTIC TANK MFG. W O l^ CAPACITY ©� MATERIAL 'al1/we e <br /> CAPACITY ' MATERIAL <br /> O-$EPIICLUOSING TANK ENT 0 TWO'COMIWRTMENT 0 FLA1Ah-HRSUJG.Y <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. MODE (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL MFG. MODEL ❑ <br /> HYDROSPLI1TER: MFG. IODEL (INCLUDE ORIFICE CALCULATIONS) C <br /> EFFLUENT FILTER MFG. MO c 0 <br /> DISTRIBUTION VALVE:MFG MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING / na <br /> B'FLGRA,VI 1Y EFFLUENT SEWER: LENGTH 2 5 DIAMETER % MATERIALr�C Si FALL(IN INCHES) 2 <br /> ❑ PRESSURE PIPING: LENGTH '---- DIAMETER MATERIAL PSI '' <br /> 4. DISPOSAL.FIELD(DRAINFIELD) <br /> DISTRIBUTION_TECHNIQUE: 0 EQUAL 0 LOOP H'SERIAL 0 PRESSURIZED <br /> ' TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHODOC/K&PIPE 0 OTHER <br /> TOTAL DEPTH I Z DEPTH BELOW PIPE �!1 / ' <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN Z MAX 3d <br /> CAPPING FILL DEPTH(DEPTH OF CAP1: <br /> SETBACKS FROM WELLS: SEPTIC TANK 2 8 SAND FILTER OR ATT UNIT " DRAINFIELD <br /> 5 DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN 0 11 7. ATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ -•C &PIPE ❑OTHER • <br /> TOTAL Dm- DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: a R MATERIAL <br /> 6. ADVANCED TR TM UNITS <br /> ❑ SAND FILTER ' GF 0 ATT: TYPE ' <br /> G:\FORMSISEPTICIFORMS\S-¢0 MATERIALS LIST.DOCX.Rev 3118 <br />