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® © E, QM -E ";" <br /> �,, Marion Coun{Y Public Works - SUNS 2021 <br /> .01. f! +'III, Building Inspection Division • <br /> MARION BOUNTY <br /> l—�� ..— 5155 Sllvertan Rd NE <br /> ��—>> �� Salem OR 97305Ilim: BUILDING INSPECTION <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 . 2.334 01.o0;41LE T> I teg ¢D TAX LOT# <br /> • SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS `D w vicar-Al <br /> • .7 3EE13Q TANK- MFG. A S ;6 CAPACITY• i WO C m. MATERIAL S L[;L c <br /> ❑ POSING TANK:MFG. • CAPACITY • MATERIAL <br /> . a SEPT1CIDOSWJGTANK: 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES • . <br /> • <br /> PUMP t. MFG. - MODEL (INCLUDE PERFORMANCE CURVE) a <br /> PUMP Z: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL.: MFG. MODEL a <br /> HYDROSP I1 rER MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT ILTER MFG. _ MODEL ❑ <br /> pISTRIBUTION VALVE:MFG. MODEL a <br /> 3. EFFLUENT TRANSPORTPIPING x: • IF <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH J DIAMETER 1 MATERIAL. FIlt-- FALIQNINCHES), tom+ <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> pISTRIBUTTON TECHNIQUE: ,EQUAL ❑ LOOP ❑ SERIAL .. 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 100 I _ <br /> DRAIN MEDIA: ^, $S ABSORPTION METHOD D ROCK&PIPE OTHER c F(0 r Co't$T <br /> TOTAL DEPTH "b' DEPTH BELOW PIPE Le ' <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE):: MIN `3 '1 MAX SG . <br /> • CAPPING FILL DEPTH(DEPTH OF CAPZ: f <br /> SETBACKS FROM WELLS: SEPTIC TANK 1.13.T SAND FILTER OR ATT UNIT 114 A. DRAINF ELD. 440 <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> D CURTAIN DRAIN O TILE DEWATERING <br /> TRENCH.DEPT : . <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER • . <br /> TOTAL DEPTH�_. DEPTH BELOW PIPE ❑ FILTER FABRIC <br /> PERFORATED IPINSI: DIAMETER MATERIAL A '. - <br /> B. ADVANCEDTREATMENTUNI S STATE CERTIFIED . <br /> Environmental Health Sp€eialiti <br /> ❑ SAND FILTER 0 'RGF ❑ AT:TYPE <br /> 5:,e1 r. �EH -1 085, . <br /> GAFORMS1SBPflC1PORM S. -60MATERIALSLIST,DOCXRar3/18 <br /> Robert+ !aodwir <br />