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23- 0O 7 96fZr <br /> e <br /> �,, Marion County Public Works <br /> a ''1,1 „,,. Building Inspection Division <br /> — _ 5155 Silverton Rd NE <br /> � w�� v Salem OR 97305 <br /> ``. "`'� (503)588-5147 Fax(503)588-7948 <br /> http://www/co.marion.or.us - <br /> • <br /> ON-SITE SYSTEM MATERIAL LIST - <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS . b :fal. , 99`3 N9 0-'1 1? TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS „, <br /> ❑ SEPTIC TANK: MFG. U) C),A,A,{), CAPACITY .) Q 6 tt MATERIAL .ITT .I'"XaN.. <br /> o DOSING TANK MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT ❑ TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS.INCLUDED o <br /> 2. PUMPING ASSEMBLIES <br /> • <br /> PUMP 1: MFG. i\ MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> r <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> I CONTROL PANEL: MFG. MODEL ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER MFG: MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 1 3. EFFLUENT TRANSPORT PIPING ` ,1 �� �� <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH 1 S DIAMt I I_F( 1 MATERIALS 6 3 FALL(IN INCHES) S r'") *7 q ex <br /> s <br /> O PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 'IA SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: ~J n ' <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD ❑ROCK IPE ❑OTHER 2Ji*3 X�t1) <br /> TOTAL DEPTH� bDEPTH BELOW PIPE 1 \N <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN Z `-1 MAX !I> <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) U <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> . TRENCH DEPTH; <br /> DRAIN MEDIA: o ROCK&PIPE 0 OTHER I n/ <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL - <br /> NI 8 _ ���//// 9\\\\000 <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER ❑ RGF 0 ATT: TYPE <br /> G:IBUILDING INSPECTION\FORMSISEPTICIFORMSIS-60 MATERIALS LIST.DOCX Rev 3/18 <br />