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t,,, Marion County Public Works RECEOVE ' <br /> ,tll •'' Building Inspection Division j, <br /> 5155 Si(verton Rd NE Salem OR 97305 J U L 20 202 J <br /> (503)588-5147 Fax(503)588-7948 MA R I O N COUNTY <br /> MI.' http:tlwww/co.marion.or.us BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 9 )0 WQ(.OL►dIG 80 AJE (3rooJ44/OR TAX LOT# 06 2t.1 128 ICO <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS . <br /> ' 0 SEPTIC TANK MFG. --- CAPACITY MATERIAL _____.----' <br /> I/ ❑ DOSING TANK:MFG. ACITY .r— MATERIAL ..--- <br /> SEPTIC/DOSING TANK�A�❑ S GLE COMPARTMENT T/WO COMPARTMENT CI FLOW-THROUGH <br /> MFG. YY9 r-e (6 CAPACITY B' .70 0 MATERIAL CAI 6r4L,' t <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. 01?E, O MODEL 'Pp 3 'I (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2: MFFG. MODEL "`gy^ (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. O/ EA/(0 MODEL S-1 PPP ❑ <br /> HYDROSPLITrER: MFG. - MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL r— D <br /> DISTRIBUTION VALVE:MFG. MO. DEC's-- ❑ <br /> 3. EFFLUENT TRANSPORT PIPING <br /> Cr GRAVITY EFFLUENT SEWER: LENGTH D ETER —MATERIAL FALL(IN INCHES) <br /> p/PRESSUREPIPING: LENGTH .WY DIAMETER it y!MATERIAL?VC yt4TGPSI 910 <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL 0 LOOP CI ER1AL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD ®'ROC/K&PIPE D OTHER <br /> TOTAL DEPTH I'2 h DEPTH BELOW PIPE �h n <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN r er Ii MAX j0 <br /> CAPPING FILL DEPTH(DEPTH OF CAP): - //,�+C I <br /> SETBACKS FROM WELLS: SEPTIC TANK 9 6 SAND FILTER OR ATT UNIT — DRAINFIELD /U 7 <br /> 5. DEWATERI SYSTEMS I QUIRED) <br /> 0 CURTAIN D LE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA ROC &PIPE ❑OTHER • • <br /> TOTAL D TH DEPTH BELOW PIPE 0 FILTER FABRIC STATE CERTIFIED <br /> PERFORATED PIPING: D MATERIAL Environmental Health Specialist <br /> `., ., EH-S-1 I s:II <br /> 6. ADVANCED TREA UNITS ko. }0 SAND FILTER - ❑ ATT: TYPE , - • ( /f <br /> , <br /> Robert Go•dwin <br /> GnFORIv1S1SE3'TICWORM31340 MATERIALS LIST.DOCX Rev 3/18 7/14/94 <br />