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2 3- 1040y3 pemr <br /> _ <br /> �,, Marion County Public Works H <br /> V <br /> 1� C E OE <br /> , �•-�—� s 5155 Silverton Rd NE <br /> s;� %!_` i Salem OR 97305 JUL 17 2024 • <br /> (503)588-5147 Fax(503) 588-7948 ' <br /> a y• ^- _ - ; e http://www/co,marion.or.us MARION COUNTY <br /> .•• '-` BUILDING INSPECTION <br /> • <br /> • <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS 137 3 H b 6a.es-i •j ( , N1 s, .s iv,.,t:�1-L,v\ TAX LOT# O 1 W2 . O M(% <br /> SECTION TOWNSHIP RANGE LOT <br /> 'f. SEPTIC TANKS 1 <br /> 0 SEPTIC TANK: MFG. L 11 R._ CAPACITY I. t 0 C) MATERIAL CI,(1)IA C.t' Ca , <br /> 0 DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MTG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES • . <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE:CURVE) ❑ <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 ❑ <br /> 3. EFFLUENT TRANSPORT PIPING • . <br /> ❑ GRAVITY EFFLUENT SEWER; LENGTH DIAMETER : MATERIAL FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH .6` DIAMETER `2.k' MATERIAL5LIn4 D PIRPSI '2,.g(1 <br /> 4. DISPOSAL FIELD(DRAINFIELD) / <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL PRESSURIZED / <br /> TOTAL LINEAR FOOTAGE: ),c'I� ✓✓✓ S ,a <br /> DRAIN MEDIA: �I GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER i,� ,I.tv`ln ar EC 24 Lb F''0I 'vc <br /> TOTAL DEPTH DEPTH BELOW PIPE ' G GIB,04,6 cv,s <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN I bN MAX 1 t��\ <br /> CAPPING FILL DEPTH(DEPTH OF CAP): W II. 1M 1 V\1 <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTENJS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: 0 ROCK&PIPE 0 OTHER • C / <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL ` <br /> / <br /> 6. ADVANCED TREATMENT UNITS r, '3°VJI . <br /> ❑ SAND FILTER 0 'RGF p ATT: TYPE PIT pop. C? P Q ,w,�-F ,1:4;61,1 Hec., pU vv\, <►► l®ll: <br /> Eao jO <br /> V <br /> G:\FORMS 1SEPTICIFORMS\5-60 MATERIALS LIST.DOCX Rev 3/18 <br />