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IIECEIIVIE <br /> �, Marion County Public Works <br /> �'' Building Inspection Division MARION COUNTY <br /> 1111. <br /> ` �= 5155 Silverton Rd NE BUILDING INSPECTI0 11�if <br /> .�� Salem OR 97305 <br /> yol- <br /> (503)588-5147 Fax(503)588-7948 AUG 16 2021 Scr <br /> http://www/co.marion.ar.us 4 t <br /> at <br /> ON-SITE SYSTEM MATERIAL LIST T J` s " <br /> (DIRECTIONS a DEFINmONS ON BACK) ,f e4'tf ,``S <br /> ADDRESS g 10 lV lL Si- TAX LOT# <br /> 1. SEPTIC 1: 4-vrA)-)- CIZ 9 13i-/ SECTION TOWNSHIP RANGE LOT <br /> SEPTIC TAW: MFG. CAPACITY MATERIAL <br /> DOSING TANK MFG. CAPACITY MATERIAL <br /> SEPTICJDOSING TANG:❑SINGLE COMPARTMENT ❑TWO COMPARTMENT ❑FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> ❑MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBIJES <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2 MFG. MODEL (INCLUDE PERFORMANCE CURVE) <br /> CONTROL PANE_: MFG. _ MODEL <br /> HYDROSPLITTEFt 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 PIPINa LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFELD) <br /> DISTRIBUTION TECHNIQUE ❑EQUAL ❑LOOP ❑ SERIAI. ❑PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD ❑ ROCK&PIPE ❑ OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE <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. IEWATERING SYSTEMS(IF D) <br /> ❑ CURTAIN DRAIN ❑TILE DEWATERING TRENCH DEPTH <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> 0 SAND ALTER ❑RGF ❑ ATT:TYPE <br /> C:\USERS‘SGARCIA\DESKTOPLS-60 MATERIALS LIST.DOCX Rev 3/18 <br />