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Marion County Public Works <br /> Building Inspection Division <br /> 5155 Silverton Rd NE <br /> Salem OR 97305 <br /> 7....'L3'lR 1 . <br /> (503)588-5147 Fax(503)588-7948 <br /> nim‘ <br /> http://www/co.marion.or.us <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS Ti 9 S b e- 5 TAX LOT# <br /> .JS3Zu..3 3o 05coIoG <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS Fk`� 0 <br /> ' ❑,(SEPTIC TANK: MFG. WA(i. Mc 1 CAPACITY ( CTt7a G MATERIAL C a I r-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 /> MFG.'S SPECS. INCLUDED <br /> 2. 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) ❑ <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING <br /> fi GRAVITY EFFLUENT SEWER: LENGTH DIAMETER F " MATERIAL P de__ FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL 0 LOOP t SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 7'') <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD ❑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 /> 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 /> • <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER 0 'RGF 0 ATT: TYPE <br /> GAFORMS\SEPTICWORMSIS-60 MATERIALS LIST.DOCX Rev 3/18 <br />