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�� Marion County Public Works <br /> �d1 , yl4UgUe Building Inspection Division <br /> �_ �,� 5155 Silverton Rd NE. <br /> . + - � Salem OR 97305 <br /> --, vF „..^- ' (503) 588-5147 Fax(503)588-7948 <br /> http://www/co.marion.or.us <br /> t <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> . /� <br /> ADDRESS. 3.� c/)(C( _ CT c -rDt-f TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> v SEPTIC TANK. MFG. GV S/J4+.1._ _ CAPACITY (00C> . MATERIAL Cane- - <br /> D DOSING TANK MFG. ,>_,_ CAPACITY . MATERIAL �--- — <br /> Ci ,SEPTIC:DOSINGr TANK: U SINGLE COMPARTMENT 0 TWO COMPARTMENT U FLOW THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES , <br /> PUMP 1: MEG. Op.041.6 MODEL /O/�pM^ (INCLUDE PERFORMANCE CURVE) [U <br /> PUMP 2: MFG. . dYt. MODEL JO ,yP"-- (INCLUDE PERFORMANCE_CURVE) U <br /> CONTROL PANE),: MEG. OW MODELE <br /> HYQROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> „EFFL ENT FILTER: MFG.- j'Moid, MODEL (? <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING LL <br /> 0 GRAVITY EFFLUENT SEWER: LENGTH - DIAMETERlit'v MATERIALf� TrALL(IN INCHES) <br /> 2 0 PRESSURE PIPING:'LENGTH "80. DIAMETER MATERIAL PSI <br /> ( •," se.A. yn l plc. <br /> 4. DISPOSAL-FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: L EQUAL 0 LOOP 0 SERIAL dS PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: /7S <br /> nt <br /> DRAIN MEDIA: gRAVEL-LESS ABSORPTION METHOD ❑ROCK&PIPE D OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE - <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): _MIN IS MAX-ir <br /> CAPPING FILL DEPTH(DEPT}I OF CBI: , <br /> SETBACKS.FROM WELLS: SEPTIC TANK?(a? SAND FILTER OR ATT UNIT 7 fat) DRAINFIELD 7 YVO <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> 7 CURTAIN DRAIN Q TILE DEWATERING <br /> TRENCH DEPTH: • ------- <br /> DRAIN MEDIA; 0 ROCK&PIPE U OTHER <br /> TOTAL DEPTH, DEPTH BELOW PIPE 0 FILTER FABRIC STATE CERTIFIED <br /> PERFO- TEDPIPING: DIAMETER _ MATERIAL ,__ _ Environmental Health Specialist <br /> r . r <br /> 6. ADVANCED TREATMENT UNITS <br /> gf J <br /> n SAND FILTER u RGF ATT: 'TYPE arlrc0 �u1 v.7%31 Ay . <br /> Ro ert oodwin <br /> G:IFORNISLSEPTIC1lORMS\5.60 MATERIALS LLST.DOCXRcv 3/18 I I° , _- <br />