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_ _ _ <br /> a3 c���-,a ECE IN E te <br /> 1 <br /> e AUG 082023 �' <br /> �,�� Marion County Public Works <br /> ,,I� "'�'�,,,;� Bl.ilding Inspection Division MARION COUNTY <br /> �0 _ 5155 Silverton Rd NE BUILDING INSPECTION <br /> '����i`� �� Salem OR 97305 <br /> (503)588-5147 Fax(503)588-7948 <br /> 1111.11 http://www/co.marion.or,us <br /> t . <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS / SGA_G C u c.11 €a /U L S:\Vec- c,.% TAX i-OT# 7 1 E c c l o(11 <br /> 1. SEPTIC TANKS <br /> ' , JEPTIC TANK: MFG. 'I.V \4 o,.4r CAPACITY• t C.C3 O MATERIAL 9\42,..O4ci) - <br /> ❑ DOSING TANK:MFG. • CAPACITY MATERIAL <br /> 0 SEPTIC/DOSING TANK: 0 SINGLE COMPARTM:TNT 0 TWO COMPARTMENT ❑ FLOW THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG,'S iPECS,JNCLUDED <br /> 2. PUMPING ASSEMBLIES - • . <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE)• 0 <br /> CONTROL PANEL: MFG. _ MODEL D <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING IN <br /> ,e -GRAVITY EFFLUENT SEWER: LENGTH G . DIAMETER _ Y" MATERIAL So 3'•l FALL(IN INCHES)i S <br /> 0 PRESSURE PIPING: LENGTH DIAMETEF: MATERIAL 'PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) � , `x <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL 0 PRESSURIZED /\`16 I ` <br /> TOTAL LINEAR FOOTAGE: .1 <br /> pRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE ❑OTHER . <br /> TOTAL DEPTH DEPTH 3ELOW PIPE . <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACIJ: MIN MAX <br /> CAPPING FILL DEPTH(DEPTH OF CAPI: <br /> SETBACKS FROM WELLS: SEPTIC TANK — SAND FILTER OR ATT UNIT DRAINFIELD_. <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> a CURTAIN DRAIN ❑ TILE DEWATERING <br /> TRENCH DEPTH: .,_-._ <br /> DRAIN MEDIA: ❑ROCK&PIPE 0 OTHER • i 4 Y�e� rn <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FAB ;� TI F� �,• <br /> PERFORATED PIPING: DIAMETER MATERIALit <br /> Environmental Health specialist <br /> EH-S-10227575 _i <br /> "• ;, <br /> 6. ADVANCED TREATMENT UNITS 'i :. " <br /> 0 SAND FILTER ❑ 'RGF 0 ATT: TYPE _� <br /> aRP1rIlEc <br /> G:IFORMSISEPTICIFORMSIS;60 MATERIALS LIST.DOCX Rev 3/18 "` <br />