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,,� Marion County Public Works <br /> • �I '''��� Building Inspection Division <br /> . �� �-_ 5155 Silverton Rd NE . <br /> Salem OR 97305 • <br /> (503)588-5147 Fax(503)588-7948 <br /> http://www/co.marion.or.us <br /> • <br /> • <br /> ON-SITE SYSTEM MATERIAL LIST <br /> • <br /> f (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS f7 Z 7 lid e'V1 Ira 1 tie Cq J- TAX LOT* <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> • 0 SEPTIC TANK: MFG. CAP•CITY MATERIAL <br /> ❑ DOSING TANK:MFG. .411.' CAPACITY MATERIAL <br /> O SEPTIC/DOSING TANK: ❑ SINGLE •• -ARTME ■ TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY -- MATERIAL <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES • <br /> • <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. MODEL ' (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. 0 re.1 L f3 MODEL 67 3i � od/J©q ❑ <br /> JiYDROSPLITTER: MFG. MODEL INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL • 0 <br /> DISTRIBUTION VALVE:MFG. MODEL ---- ❑ <br /> 3. EFFLUENT TRANSPORT PIPING ' <br /> O GRAVITY EFFLUENT SEWER: LENGTH DIAME i tit MATERIAL FALL(IN INCHES) <br /> O PRESSURE PIPING: LENGTH DIAMETER MATERIAL 'PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) • <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL ❑ PRESSURIZED <br /> ' TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE • <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN MAX • <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEI 1S(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 /> 6. ADVANCED TREATMENT UNITS <br /> O SAND FILTER 0 'RGF 0 ATT: TYPE • <br /> • <br /> G:IFORMSISEPTICIFORMSIS-b0 MATERIALS LIST.DOCX Rev 3/18 <br />