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? _ tO?-37 <br /> Marion County Public Works <br /> Building Inspection Division <br /> 5155 Silverton Rd NE <br /> I; `="=" Salem OR 97305 <br /> (503) 588-5147 Fax(503) 588-7948 <br /> http://www/co.marion.or.us <br /> ON-SITE SYSTEM MATERIAL LIST <br /> / (DIRECTIONS// &DEFINITIONS ON BACK) <br /> ADDRESS 6136 �c-SGO /Vb� //6 TAX LOT# <br /> S,.I'/�f0,1 0( Q7f SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS /J /c V �j / <br /> ❑ SEPTIC TANK: MFG ' '`�"""•" IS CAPACITY /52 MATERIAL//G•S»G <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> O SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS. INCLUDED ❑ <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <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 ❑ <br /> 3. EFFLUENT TRANSPORT PIPING <br /> �! r� <br /> A GRAVITY EFFLUENT SEWER: LENGTH i "6 DIAMETER MATERIAL-0/ 'FALL(IN INCHES) <br /> O PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP A SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 7 ") 77 JJ <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE —MOTHER LJ L-!G//.,/ <br /> TOTAL DEPTH 09YZiOn DEPTH BELOW PIPE O 11 <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 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE 0 OTHER P <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC STATE CERTIFIED <br /> Environmental Health Specialist <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> .f'.'��� EH-S-1 06 0 <br /> w ' <br /> �_j.•�, <br /> 6. ADVANCED TREATMENT UNITS :/ <br /> ❑ SAND FILTER 0 RGF 0 ATT: TYPE <br /> Robert Goodwin <br /> G:\BUILDING INSPECTION\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 3 4, <br />