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P e. <br /> �,,� Marion County Public Works <br /> ++� '"„�4471. <br /> ;` St,:ilding inspection Division <br /> ,un. <br /> 1��� �� 5155 Silvartan Rd NE <br /> -4 ►, --;� �� Salem OR 97305 1 • <br /> elmv,NwrK. (503)588-5147 Fax(503)588-79 l 8 <br /> http://wwwlco:marinn.or.us <br /> • <br /> QN-StiE.SYSTEM MATERIAL LIST <br /> I9w(DIRE(TIONs&°EmoNS ON BACK) <br /> ADDRESS S 5 g`( C \c rV. . C,T Si TAX LOT# t GAO 8 S co D-\co <br /> iSECTION TOWNSFIP RANGE LOT <br /> 1. SEPTIC TANKS • <br /> -' /EPTIC TANK MFG. ,.-v�S,� te'SC S ' 'CAPACITY, i 'C MA ERIAL k-�-% C <br /> 0 DOSING TANK:MFG. I. • CAPACITY MATFh1AL <br /> 0 'SEPTIC/DOSING TANK: 0 SINGLEICOMPARTM ENT 0 1W0 COMPARTMENT 17 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> Jd1FG,'S 3PECS,INCLUDED <br /> 2. PUMPING ASSEMBLIES • . <br /> PUMP 1: MFG. MODEL (INCIIUDE PERFORMANCE CURVE) 0 <br /> RUMP a: MFG. I MODEL (INCLUDE PERFORMANCE CURVE), 0 <br /> CONTROL PANEL MFG. . I MODEL I 0. <br /> HYDROSPLITrER: MFG. l MODEL INCLUDE ORIFICE CALCULATIONS) .0 <br /> EFFLUENT FILTER: MFG. I MODEL I <br /> DISTRIBUTION VALVE:MFG. I MODEL I 0 <br /> 3, EFFLUENT TRANSPORT PIPING.fir <br /> RAVITY EFFLUENT SEWER: LENGTHa 0' - DIAMETER LiMA I RIAL P 0)C-- FALL(IN INC 4ES) 14 <br /> 0 PRESSURE PIPING: LENGTH I DIAMETEF: MATERIAL 'PSI <br /> I <br /> 4. DISPOSAL FIELD(DRAINFIELD) I <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: I 1 <br /> pRAIN MEDIA: .0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE CI OTHER . <br /> TOTAL DEPTH .Il DEPTH 3ELOW PIPE . <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN, . . MAX <br /> CAPPING FILL.DEPTH(DEPTH OF CAP1: <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR ATT UNI)1 DRAtNFIELD,,._, <br /> f <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> t3 CURTAIN DRAIN 0 TILE DEWATRING <br /> TRENCH DEPTH: l <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 /> 0 SAND FILTER 0 'RGF O ATT: TYPE I <br /> o:\FORMSLSEPTICwORMSIS O MATERIALS LIST.DOCX Rev 3/18 1 . <br />