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�,,, E0 <br /> Marion County Public Works <br /> .did ��''ii,�4. Building Inspection Division /75)�����flb <br /> �� 5155 Silverton Rd NE ` <br /> -5 ,--,,,,„,„, ....Mk.........^� Salem OR 97305 RED <br /> (503) 588-5147. Fax(503) 588-7948 2 4 2020 <br /> N <br /> .. http://www/co.marion.or.us i��d � a <br /> JddLDiftl �E P T CCIUNTV—O <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> - ADDRESS !UNC f," al -�y� jr. L 011 ( CA TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT • <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK: MFG. 1/1)4,1 'II? CAPACITY I( OW j4I([rtMATERIAL (oIntre <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK 0 SINGLE COMPARTMENT ❑ TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> *A`C11� MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES vV <br /> - PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) •❑ <br /> CONTROL PANEL: MFG. MODEL 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> -EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD ❑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 SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE . 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> STATE CERTIFIED <br /> Waste Water Specialist <br /> 6. ADVANCED TREATMENT UNITS -!� <. <br /> EH-W1 0147892 gai <br /> 0 SAND FILTER ❑ RGF 0 ATT: TYPE `� ; n/L 1 <br /> �`� N %� <br /> Kimb <br /> erlee A.Aldrich <br /> G:)FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 1 <br />