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'1-1-15b11511-) <br /> Marion County Public Works RECEIVED <br /> ,„, ''� ��,,� Building Inspection Division <br /> ����"`���_ 5155 Silverton Rd NE AUG 19 2024 <br /> �.N�" Salem OR 97305 <br /> mil (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) <br /> ADDRESS I 60/).5--gie4A70,-, /lJZ TAX LOT# 0. 7 I E 4(o4)4G /ICC) <br /> SECTION TOWNSHIP RANGE LOT <br /> SEPTIC TANKS , <br /> 94 SEPTIC TANK: MFG, 14)c' CAPACITY I1CCG MATERIAL (OA.,i...t 7 <br /> ❑ DOSING TANK MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> AA,IC G let leylid& GI1.0-Lec,fi— MFG.'S SPECS.INCLUDED ❑ <br /> ,,,,E"'--PUMPING ASSEMBLIES <br /> PUMP 1: MFG. MODEL (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 0 <br /> ▪ EFFLUENT TRANSPORT PIPING <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> XDISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE <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 /> ' EWATERING SYSTEMS(IF REQUIRED) <br /> ,/ ❑ CURTAIN DRAIN 0 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 /> ▪ ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER 0 RGF 0 ATT: TYPE <br /> F:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />