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^- :., Marion County Public Works DEC-711 M- <br /> itimm `! 4„,. '• Building Inspection Division n <br /> 5155 Silverton Rd NE , ` _I) <br /> Salem OR 97305. JAN 2 6 Zit <br /> (503)588-5147 Fax(503)588-7948 MARION COUNTY <br /> http://www/co.marion.or.us <br /> BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINIIION6 ON BACK) <br /> ADDRESS LOO g.e. IVavtkFoot. L ; eE. , L., It m 1 TAX LOT# <br /> / SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ( 1 <br /> ' A S 7TICTANK: MFG...Lla,li E- CAPACITY 1.1 MATERIAL. A Cordte <br /> ❑ DOSING TANK:MFG. • ..CAPACITY. MATERIAL <br /> O SF IC1OO,SING TANK:. 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MPG;:S-:SPEGS.>INCLUDED <br /> 2. PUMPING ASSEMBUES . <br /> PUMP 1: MFG. MODEL (INCWDE PERFORMANCE CURVE) ❑ <br /> PUMP 2,: MFG. : .::. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG._. MODEL 0 <br /> flYDROSPL,ITTER. MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILLER: MFG. MODEL <br /> DISTRIBUTION VALVE MFG MODEL ..:_ a <br /> 3. EFFLUENTTRANSPORT PIPING `4 ) . 1 <br /> 4 _, AAL. -,t_.`'`.LENGTH 16 DIAMETER :: <br /> MATERIAL.?- -'` FALL.(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> e SII 9 .1 `I .0 .r 'B•EQUAL ❑ LOOP ❑ SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAG . 1 0... <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD I'ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH 12 DEPTH BELOW PIPEx c . <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE-1: MIN I MAX... <br /> CAPPING FILL DEPTH(DEPTH OF GAM: 1 <br /> SETBACKS FROM WEL LS. SEPTIC TANK -I B SAND FILTER OR ATT UNIT:. DRAINFIELD I Z'i <br /> 5.;.,DEWATERING SYSTEMS(IF REQUIRED) I <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> ;TRENCH : . <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 /> ❑ SAND FILTER ❑ 'RGF ❑ ATT: TYPE. <br /> G:\FORMSISEPTIC\FORMSIS-b0 MATERIALS LIST.DOCX Rev 3/18 <br />