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NoitMarion County Public Works <br /> „1 °. i„,,,� 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. . 6,'Z44& leafL A)E, TAX LOT# C� 7Z� 1 7�E} dl[ <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> SEPTIC TANK: MFG. CAPACITY MATERIAL <br /> DOSING TANK:MFG. CAPACITY MATERIAL <br /> )1) SEPTIC/DOSING TANTS: ❑ SINGLE COMPARTMENT t;P TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. 1.4. 4i k_ CAPACITY (See, MATERIAL Ceixignir E .. <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBLIES 6 <br /> PUMP 1: MFG. 0 vy.4(ei2) MODEL PFS0 (INCLUDE PERFORMANCE CURVE) <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. MODEL ❑ <br /> 1-IYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT FILTER: MFG. MODEL ❑ <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 'LCr` DIAMETER 11/N MATERIAL 14_41.12. PSt 3z <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: W EQUAL ❑ LOOP U SERIAL 141 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: /301 <br /> DRAIN MEOW ❑GRAVEL-LESS ABSORPTION METHOD ❑ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH _ DEPTH BELOW PIPE p <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN I Z MAX l(a <br /> CAPPING FILL DEPTH(DEPTH OF CAP): 1 to" <br /> SETBACKS FROM WELLS: SEPTIC TANK SO 1 SAND FILTER OR ATT UNIT SCS r DRAINFIELD LeAC- t <br /> • <br /> o <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑ 11LE DEWATERING <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> ❑ SAND FILTER 0 RGF pe)ATT: TYPE Aetti.4.3c1C 4K ZO <br /> 0:WORMS\SEPTICIFORMS\S•60 MATERIALS LIST.DOCX Rev 3/18 <br />