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�,,, Marion County Public Works 1 1— b DoZ LP-7-01A, <br /> ,SII ,,,���u,,,� Building Inspection Division IA s--a- <br /> 1��: -....--7-_- <br /> ---i="---- ---- <br /> �_ 5155 Silverton Rd NE �, �, <br /> .-►�1���" Salem OR 97305 <br /> _ (503)588-5147 Fax(503)588-7948 APR 112019 <br /> http://www/co.marion.or.us <br /> MARION COUNTY <br /> BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST • . <br /> • (DIRECTIONS&DEFINITIONS ON BACK) <br /> • 4A- <br /> /ADDRESS f � 'i2.- •4L) a TAX LOT# /�� <br /> 1 � <br /> SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS �'" <br /> " ❑ SEPTIC TANK MFG. t iliei Gl7i CAPACITYf( J vv MATERIAL (!o- 0 Ci ----1 - <br /> 0 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 /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL.: MFG. - MODEL 0 <br /> HYDROSPLITTER: MFG. ' MODEL (INCLUDE ORIFICE CALCULATIONS) 0 1' <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL ❑ <br /> 3. EFFLUENT TRANSPORT PIPING / ( , i <br /> O GRAVITY EFFLUENT SEWER: LENGTH id' DIAMETER -! MATERIAL FALL(IN INCHES)f OYl . <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL 'PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL 0 PRESSURIZED . <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA 0 GRAVEL-LESS ABSORPTION METHOD 0 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 CAP1: <br /> SETBACKS FROM WELLS: SEPTIC TANK S (//2(../-% SAND FILTER OR All'UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEN)S(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 0 ATT: TYPE ' <br /> • <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 . <br />