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/r • <br /> t}c <br /> /., / . 4 <br /> • ,�I��,, ,,,� MaIien-Gounty-PUblie-Works <br /> ,011411M * Building Inspection Division <br /> ��Ue <br /> ����r��_ 5155 Silverton Rd NE <br /> 'f���V Salem OR 97305 <br /> am_ (503)588-5147 Fax(503)588-7948 n: �LJag Ei <br /> http://www/co.marion.or.us � L/ LJ <br /> . <br /> ON-SITE SYSTEM.MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) n <br /> ADDRESS as ,iiio'' t SE TAX LOT# 0B3W 24 -co • <br /> 1-11(CUOL SECTION TOWNSHIP RANGE LOT <br /> 1. SEPT' TANKS / I�ir <br /> • <br /> ❑ -EPTIC TANK: MFG. S CAP, ITY 17 b0 MATERIAL CO VI C.- <br /> O D S SING TANK:.MFG. APACITY MATERIAL' <br /> O SEPT :• NG TANK: 0 S4 "•MPARTMENT 0 TWO COMPARTMENT L FLOW-THROUGH • ' <br /> MFG. CAPACITY MATERIAL . . l <br /> MFG.'S SPECS. INCLUDED ❑ <br /> i <br /> .2. PUMPING ASSEMBLIES . <br /> PUMP 1: MFG. u/A MODEL r- (INCLUDE PERFORMANCE CURVE) 0 <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 ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING f <br /> D GRAVITY EFFLUENT SEWER: LENGTH 3 O 1 DIAMETER 1111 MATERIAL 2 1 b3SV FALL(IN INCHES) 1 <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) • . <br /> DISTRIBUTION TECHNIQUE: '0 EQUAL 0. LOOP .iXSERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: '-7�` / <br /> DRAIN MEDIA: RAVEL-LESS ABSORPTION <br /> METHOD <br /> BELOW PIPE OROCK&PIPE CI OTHER h 7 F/c' v 014� <br /> ti� �z <br /> TOTAL DEPT <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN .. MAX <br /> CAPPING FILL DEPTH(DEPTH OF CAP): —" • <br /> SETBACKS FROM WELLS: SEPTIC'TANK SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE El OTHER r--- <br /> TOTAL DEPTH — -• DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING;. DIAMETER MATERIAL I <br /> ®\ ' <br /> 6. ADVANCED TREATMENT UNITS <br /> 0 SAND FILTER 0 RGF 0 ATT: TYPE ,�`�r i <br /> F:\FORMS\SEPTICIFORMS\8 60 MATERIALS.LIST.DOCX Rev 3/18 Le7 U C <br />