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1 <br /> �,,� Marion County Public Works • <br /> fi ''��a,,,.t� Building Inspection Division _n� �� <br /> 5155 Silverton Rd NE a, i-O e 7F R~`r IT <br /> --��%�i� �N Salem OR 97,305 <br /> ' 'mo (503)588-5147 Fax(503)588-7948 <br /> http://www/co.maribn.or.us <br /> u FEB2 = 221 <br /> ON-SITE SYSTEM MATERIAL LIST Mr=,I--;U1v COUNTY <br /> (DIRECTIONS&DEFINITIONS ON BACK) UiLLING INSPECTION <br /> ADDRESS <br /> -1^a'4- c r W O eh,0't A- TAX LOT# <br /> • SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS aa <br /> A SEPTIC TANK: MFG. •LII4`I /IA I S CAPACITY 6 O( V MATERIAL CON c— <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY TERIAL <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES • <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <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 0 <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING /' �� / �� <br /> O GRAVITY EFFLUENT SEWER: LENGTH /S DIAMETER �/ MATERIAL 3OTl FALL(IN INCHES) 3[� <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI • <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP A SERIAL 0 PRESSURIZED . <br /> TOTAL LINEAR FOOTAGE: SO ., <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE [I OTHER U--12--( L au <br /> TOTAL DEPTH DEPTH BELOW PIPE/ <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN CAPPING FILL DEPTH(DEPTH OF CAP):SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR ATT UNIT DRAINFIOkiC <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> O CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER STATE CERTIFIED <br /> 7 <br /> Water Specialist <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC �.... <br /> ,.Waste Eater47892 <br /> PERFORATED PIPING: DIAMETER MATERIAL fk, f , <br /> 01.01.1 '_' a 0 <br /> i. <br /> 3. ADVANCED TREATMENT UNITS imberlee A Aldrich <br /> ❑ SAND FILTER 0 'RGF 0 ATT: TYPE • f^ ' r�, <br /> 1:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 EXPIRE D <br />