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FJ <br /> �,,, Marion County Public Works <br /> "'llhgp% Building Inspection Division <br /> 5155 Silverton Rd NE <br /> 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 /> ADDRESS 5'23 K Et; C FYz.4/A i S TM LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK: MFG.GX161 3� CAPACITY, ISLE Qty- MATERIAL CIsn�tR� <br /> ❑ DOSING TANK:MFG. CAPACITY MATERIAL <br /> o 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 /> • <br /> PUMP 1: MFG. OR . 1V L MODEL?F 5 (INCLUDE PERFORMANCE CURVE) tg <br /> pUMP 2: MFG. 0IZF 4LA MODEL P F (INCLUDE PERFORMANCE CURVE) <br /> CONTROL PANEL: MFG, 02ei.)w MODEL ilk)4:5 A <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT FILTER: MFG. LSREilL-o MODEL Pr 5 t -5 to <br /> - DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> 'PRESSURE PIPING: LENGTH 'L'Sb DIAMETER S." MATERIAL P.4 L. PSI -II LID <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL PRESSURIZED <br /> TOTAL.LINEAR FOOTAGE: I IIL O E \ <br /> DRAIN MEDIA: ' GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE ❑ OTHER <br /> TOTAL DEPTH 144 DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN -!/ MAX 14 <br /> CAPPING FILL DEPTH(DEPTH OF CAP): h <br /> SETBACKS FROM WELLS: SEPTIC TANK I(AO SAND FILTER OR ATT UNIT/670 DRAINFIELD I®� <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 /> ❑ SAND FILTER 0 'RGF q&ATT: TYPE (NG. C-0 A-) gr . <br /> G' ORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCXRev 3 18 <br /> .1F / <br />