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1LCLEIIVLE <br /> ISJi <br /> �,,, Marion County Public Works <br /> MARBUILDING IN <br /> ill iq'ii,�t�t` Building Inspection Division MAR 2 2 2018 <br /> 5155 Silverton Rd NE � �� ®�� <br /> ��-� " Salem OR 97305ry <br /> imi (503)588-5147 Fax(503)588-7948 <br /> http://www/co.marion.or.us <br /> SPECiS-W2(c 'y <br /> ON-SITE SYSTEM MATERIAL LIST <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS. - 23 g...-5 L /u L vt TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT - <br /> 1. SEPTIC TANKS <br /> I SEPTIC TANK MFG. G.�cta-C CAPACITY 11 COSMATERIAL CCKwck <br /> Cl DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK 0 SINGLE COMPARTMENT ❑ 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 Z: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) El <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL • El <br /> 3. EFFLUENT TRANSPORT PIPING <br /> I GRAVITY EFFLUENT SEWER: LENGTH I o&O I DIAMETER LI i' MATERIAL$173L(Pvt.FALL(IN INCHES) S'"a- <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL 0 LOOP til SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 1-1-7 s' <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD It ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH 12." DEPTH BELOW PIPE (o <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN OP`. MAX 36" <br /> CAPPING FILL DEPTH(DEPTH OF CAP): ^ <br /> SETBACKS FROM WELLS: SEPTIC TANK 100 I - SAND FILTER OR ATT UNIT — DRAINFIELD IC'ie'.' . <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> ❑ CURTAIN DRAIN ❑ TILE 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 ROE 0 ATT: TYPE <br /> G:\FORMSISEPTICIFORMS)S-60 MATERIALS LIST.DOCX Rev 3/18 <br />