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�,�� Marion County Public Works <br /> .dll �''4m,,,� Building Inspection Division <br /> 1�... 5155 Silverton Rd NE <br /> //i 1$ Salem OR 97305 • <br /> miii,. (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 /> M 9i317 • <br /> ADDRESS 30 1 I 1 41`^q`[? ( .5 t. SeAl e. . 0 TAX LOT# 0 8 3 w'1.q'Ao 0 150o <br /> SECTION TOWNSHIP RANGE LOT <br /> 1 SEPTIC TANKS i <br /> ❑ SEPTIC TANK MFG. �e'N'•1�` �Do it CAPACITY `, I S-C L 6-,:t MATERIAL C O f,C I d C . P i C I COO <br /> O <br /> 0 DOSING TANK MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK ❑ SINGLE COMPARTMENT ❑ TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBUES • t <br /> PUMP 1: MFG. ° f e `n C G MODELYr3 0 0 c 11 (INCLUDE PERFORMANCE CURVE) 13 <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL 0 <br /> HYDROSPLITTER MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> EFFLUENT TRANSPORT PIPING i/ 5c,k LD <br /> . n PAC <br /> I <br /> NGTH DIAMETER L MATERIAL FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER . <br /> TOTAL DEPTH DEPTH BELOW PIPE . <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): <br /> A E). MIN MAX <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR AU UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE 0 OTHER • <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER 0 .RGF 0 ATT: TYPE <br /> G:\FORMS\SEPTICIFORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />