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,, Marion County Public Works <br /> .III �`'',� ..„iliF- Building Inspection Division <br /> ��1�.`��_ 5155 Silverton Rd NE <br /> ����� Salem OR 97305 <br /> MN (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)ADDRESS 8 ) 8 A, V a 11(/ 194/ 5 E TAX LOT# t3\A) 4 -COcrib <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS _ / <br /> LI ,SEPTIC TANK: MFG. W Fi-t t'(-s CAPACITY (I?b0 MATERIAL C.O►'.. <br /> ii DOSING TANK:MFG. CAPACITY MATERIAL --- <br /> ❑ SEPTIC/DOSING TANK: ❑ SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL r- <br /> MFG.'S SPECS.INCLUDED ❑ <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. u/A MODEL ------ (INCLUDE PERFORMANCE CURVE) ❑ <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING j <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH 3 O} DIAMETER I/II MATERIAL 3 O3 Y FALL(IN INCHES) 4 <br /> ❑ PRESSURE PIPING: LENGTH — DIAMETER MATERIAL PSI -- <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: t_.❑ EQUAL 0 LOOP SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: L7."--bt <br /> DRAIN MEDIA: GRAVEL-LESS ABSORPTIONMETHOD 0 ROCK&PIPE ❑OTHER 4—Z Ff o1 v A4.-30 <br /> TOTAL DEPTFV WI DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN MAX <br /> CAPPING FILL DEPTH(DEPTH OF CAP1: <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: 0 ROCK&PIPE 0 OTHER -----' <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER — MATERIAL / , <br /> ik <br /> 6. ADVANCED TREATMENT UNITS o\ <br /> ❑ SAND FILTER 0 RGF 0 ATT: TYPE ...—..-0 <br /> F:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />