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�,�� Marion County Public Works <br /> .��II �''''�u,,,� Building Inspection Division <br /> 5155 Silverton Rd NE • <br /> Salem OR 97305 <br /> mliii, <br /> (503) 588-5147 Fax(503)588-7948 <br /> http://www/co.marion.orus <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> • <br /> ADDRESS 3c Te.Vf.4.s4A, - Su • SL. TAX LOT# /b 3 J /3 O) <br /> 3-a` �(tr , ,`Soy 93,5- 2 . SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK: MFG. CAPACITY MATERIAL <br /> 0 DOSING TANK:MFG. • CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK 0 SINGLE COMPARTMENT tWO//COMPARTMENT 0 FLOW-TH OUGH <br /> MFG�.4% 1(.1 &T CAPACITY lso� MATERIAL 7I�L. <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES t- �� <br /> PUMP 1: MFG. OS- MODEL b;a2 (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2: MFG. C �. MODEL � 7�'�� C �D�EIPERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. 6M MODEL (1/f1/ ► V� 0 <br /> HYDROSPLITTER: MFG. MODEL ,.�,�7�V /7/l (INCLUDE ORIFICE CALCULATIONS) 0 <br /> �W <br /> EFFLUENT FILTER: MFG. © MODEL ' US S7 l ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING • <br /> O GRAVITY <br /> WER: LENGTH <br /> ❑ PRESSURE PIPING:T EN DIGTHC9� DIAMETER I�R MATERIAL INCHES)F5LL(IN <br /> MATERIAL TV PSI SLIM) <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL ❑ LOOP ❑ SERIAL PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: ,(fin <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD ❑ROCK&PIPE ❑OTHER 7.:/O 3 <br /> TOTAL DEPTH DEPTH BELOW PIPE TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN `d n <br /> MAX �?O <br /> CAPPING FILL DEPTH(DEPTH OF CAP): ��/ <br /> SETBACKS FROM WELLS: SEPTIC TANK--- �x , SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING Stiote-pY <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 /> 6. ADVANCED TREATMENT UNITS <br /> O SAND FILTER 0 'RGF 0 AU: TYPE • <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />