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• <br /> • <br /> �,,� Marion County Public Works ,,---. ``,j _ ,=11 <br /> • ,ill• <br /> �'''���,,,,� Building Inspection Division 1;_ i , L-_, u ._ i r <br /> 5155 Silverton Rd NE ?i I i, ± <br /> , <br /> z. ...147--44-v.�� Salem OR 97305 1 I�I.Ia `,rr, Lki�� <br /> (503)588-5147 Fax(503)588-7948 <br /> http://www/co.marion.or.us R;1i;. k,`;i,, COUNTY <br /> ?U_i,_.'_ai;q .NS'PEC T 3ON <br /> i <br /> • <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) . <br />• ADDRESS 339-- /C?IIS i'a-rn 1i" TAX LOT# <br /> • SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> W SEPTIC TANK: MFG. CAPACITY MATERIAL <br /> 9. lrr1 ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑_SEPTIC/DOSING TANK: ❑ SINGLE COMPARTMENT 1( TWO COMPARTMENT X 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 ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING <br /> X. GRAVITY EFFLUENT SEWER: LENGTH .57 0DIAMETER �/ MATERIAL PI S-, FALL(IN INCHES) - <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: .--11(1— UAL 0 LOOP ik SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: • <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE ❑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 /> 1 <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> YrV/5 ri-0 /1 /3€>>e re b �j,�a-- <br /> 0 CURTAIN DRAIN 0 TILE DEWATERING CQJ� / � <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ' ❑ FILTER FABRIC STATE CERTIFIED <br /> PERFORATED PIPING: DIAMETER MATERIAL Environmental Health Specialist <br /> EH-S-10/s 65413 <br /> • <br /> 6. ADVANCED TREATMENT UNITS 'y <br /> ❑ SAND FILTER ❑ RGF ❑ ATT: TYPE \`"�'i 41 9'// <br /> Robert Goodwin <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 31,4zi <br />