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t,,, Marion County Public Works <br /> ,i11 �''�i���,, Building Inspection Division <br /> 5155 Silverton Rd NE O.040 .5 C/ <br /> '��i '`�� 4 Salem OR 97305 ,k/44-r <br /> MINI (503) 588-5147 Fax (503) 588-7948 <br /> http://www/co.marion.or.us l <br /> EECEEEV FEB 16 2022 <br /> ON-SITE SYSTEM MATERIAL LIST <br /> I ``1 (DIRECTIONS&DEFINITIONS ON BACK) MARION COUNTY <br /> ADDRESS k 0 5 V"Q`1 \4Q. 5 - <br /> v Amu- O TAX LOT# BUILDING INSPECTION <br /> I SECTION TOWNSHIP RANGE LOT <br /> S <br /> C <br /> KS <br /> 1. i SEPTIC <br /> PTICITANK: MFG. .I'`..1 \-\'0r CAPACITY J" MATERIAL \61k` <br /> )\)(j <br /> ❑ DOSING TANK:MFG. N` CAPACITY \ N MATERIAL V- <br /> ❑ SEPTIC/DOSING TANK: V SINGE COMPARTMENT ❑ TWO COMPARTMENT ❑ FLOW-THROU H <br /> MEG. NIA VA r CAPACITY \( ) d MATERIAL OA i \C. <br /> MFG.'S SPECS.INCLUDED ❑ <br /> PUMP <br /> 2. PUMP 1: <br /> MEG. l'ALIFe\Q b�hk" MODEL CS `' <br /> Al- -2-1 (INCLUDE PERFORMANCE CURVE) 11( <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. Df L/w C 0 MODEL 1 ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER 'M`ATERIAL FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH Sfl\ DIAMETER 5'`‘ 'Y:P TERIAL h0 PSI 3?'D <br /> 4. DISPOSAL FIELD(DRAINFIELD) !� <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL ❑ LOOP ❑ SERIAL A PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 15 O` 1, , <br /> CI• MEDIA: GRAVEL-LESS ABSORPTION METHOD M `MOCK&PIPE MOTHER Z- FLv' <br /> TOTAL DEPTH k w ` ~ i ' N +0 Z-( VI <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 12's MAX 2.4" ��� n " <br /> CAPPING FILL DEPTH(DEPTH OF CAP): (o' \ — 1 \ M � <br /> SETBACKS FROM WELLS: SEPTIC TANK \2. SAND FILTER OR ATT.UNIT I b� DRAINFIELD a—W--i - <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) ( _„ <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING �,p�.(, 7W <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6 V/ 146 <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER ❑ RGF ❑ ATT: TYPE 2/I((/27/ <br /> F:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 ( !/ U <br />