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Marion County Public Works <br /> ��,, BuildingInspection Division <br /> I -.„"` 515 Slvertan Rd NE <br /> -�"----- Salem OR 97305 <br /> (503)588-5147 Fax(503)588-7948 .httlyi/www/co.madan.ar.us p.iiEv[iG, :7:_.".0 <br /> ....J <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> 'f <br /> ADDRESS69 •:.S,'�,+??iiinik-,:/./A, 9 s,;:�x./filc'� TAX LOT#0,A\t// eor-37aJ <br /> / SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS t <br /> Cl SEPTIC TANK: MFG.(Jet I1CA CAPACITY ; '' MATERIAL ("a/7erreek, <br /> G DOSING TANK:MFG. CAPACITY MATERIAL <br /> D SEPTICJDOSING TANK 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT O FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> iMIFG.'S SPECS.INCLUDED D <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) D <br /> RUMP 2 MFG. MODEL ONCLUDE PERFORMANCE CURVE) D <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 /> D GRAVITY EFFLUENT SEWER LENGTH R T A W�' ' Y rr+c L(IN INCHES) <br /> PRESSURE PIPING LENGTH 1 / DIAMkieft i 9A( MATERIAL- C . 0 PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: D QUAL • D LOOP SERIAL a hPRESS <br /> TOTAL UNEAFt FOOTAGE: /` <br /> DRAIN MEDIA: 0 GRAVEL-LESS,ABSORPTION METHOD. C ROCK&PIPE 4 OTHER 'lQ 'rt.f <br /> TOTAL DEPTH DEPTH BELOW PIPE_�_� -__ <br /> TECH DEPTH(FROM ORIGINAL GROUND SUE MIN f ' MAX 1.a -`.) <br /> CAPPING FILL DEPTH(DEPTH OF r(O '--- '— "w""""--~ <br /> SETBACKS FROM WELLS:SEPT! 'TA SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> D CURTAIN DRAIN D TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE D OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE a FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS STATE CERTIFIED <br /> 0 SAND FILTER D RGF GATT:TYPE Environmental Health Specl Est <br /> G�$t7LD[NG INSPECIlOMFflRMSkSEI'TSC4FORMSIS 6p M.1EitIALS LLg T.DOC7C Rot,3tI& �+"•, r EN-S-1 <br /> Robert Goodwin <br />