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Marion County Public Works <br /> ant Building Inspection Division <br /> 5155 Slveettan Rd NE <br /> Salem OR 97305 <br /> (503)588-5147 Fax(503)588-7948 <br /> htipJ/w rwfco.m r€of,ar,u: <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS Aiii&. ';fit ; EY• + �. TAX LOT# <br /> SE rion T le NSHIP RANGE <br /> 1. SEPTIC TANKS YY <br /> SEPTIC TAN MFG, it‘ti CAPACITY MATERIAL <br /> DOSING TANK;MFG, CAPACITY $ATERIAI <br /> I T N '❑SINGLE COMPARTMENT 1:391),V0 COMPARTMENT ❑,FLOW-THROUGH <br /> MEGA:i CAPACITY I rg)(- MATERIAL (1"wit "t; <br /> ❑MFG-'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> PUMP I; MFG,I _.I. ' + MODEL IS (INCLUDE PERFORMANCE CURVE) <br /> pump z: MFG. MODEL (INCLUDE PERFORMANCE CURVE) <br /> ) <br /> CONTROL PANEL: I FG.+ I 3 MODEL f"°^ <br /> HYDROSPUTTER: MFG, MODEL (INCLUDE ORIFICE CALCULATIONS) <br /> EFFLUENT FILTER MFG, MODEL <br /> DISTRIBUTION VALVE:MFG_ MODEL <br /> 3. EFFLUENT TRANSPORT PIPING <br /> GRAVITY EFFLUENT SEWER LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> PRESSURE PIPING LENGTH DIAMETER I. e MATERI E .VI 40Pst <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑EDUAL ❑LOOP ❑ SERIAL ❑PRESSURIZED <br /> TOTAL UNBAR FOOTAGE: <br /> DRAINMED,A: ❑GRAVEL-LESS ABSORPTION METHOD OCK&PIPE ❑ OTHER <br /> TOTAL DEPTH 17 If DEPTH BELOW PIPE g 4f <br /> p+ff tteTh �f <br /> TRENCH DEPTH(FROM°RIGINALGROUND SURFACE): MIN k MAX <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS:SEPTIC TANK SAND FILTER OR ATT UNIT DRAINFIF!n <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑CURTAIN DRAIN ❑TILE DEWATERING TRENCH,DEF'TFj: M' <br /> DRAIN MEDIA; ❑ROCK&PIPE ❑OTHER <br /> STATE TOTAL <br /> r` <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑FILTER FABRIC Environmental Health SpecIFialist <br /> pERF TED PIPING: DIAMETER MATERIAL. '"+ ,EH-S-1 6540 <br /> 6. ADVANCED TREATMENT UNITS r.5 l�` <br /> i <br /> Robert Goodwin <br />