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.X11 <br /> �,,� Marion County Public Works <br /> ,itI �''''���,,,� Building Inspection Division <br /> 5155 Silverton Rd NE • <br /> mils` Salem OR 97305 <br /> (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 /> • <br /> • <br /> ADDRESS Kt c7 l &'ovk . r �� N rri TAX LOT# ay lid a boo 0goo <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS �� <br /> ' $ SEPTIC TANK: MFG. W4I4e. COP c QAQ CAPACITY, 1 MATERIAL <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES • <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. t MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING • <br /> m GRAVITY EFFLUENT SEWER: LENGTH 100 DIAMETER I( MATERIAL iG, FALL(IN INCHES) 2 /� <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: El EQUAL 0 LOOP 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: Li 3 7.5 <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH at DEPTH BELOW PIPE G ' <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN It in MAX 16 ill <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER ORATT UNIT DRAINFIELD <br /> 5. DEWATERING 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 /> 6. ADVANCED TREATMENT UNITS <br /> O SAND FILTER 0 'RGF 0 AU: TYPE <br /> • <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />