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ED <br /> Marion County Public Works ® -EC E " <br /> Building Inspection Division a <br /> JAN 16 2019 / <br /> • <br /> 5155 Silverton Rd NE <br /> ����� �� Salem OR 97305 <br /> MARION COUNTY <br /> uni (503) 588-5147 Fax(503) 588-7948 BUILDING INSPECTIONhttp://www/co.marion.or.us <br /> I9- `-/ly <br /> ON-SITE SYSTEM MATERIAL LIST . <br /> (DIRECTIONS&DEFINITIONS ON BACK) <br /> ADDRESS ZZ`\7- . Ver- 1t� 5S,P4,w1 0Q-46/TAX LOT# (Z a ?6 <br /> SECTION TOWNSHIP RANGE LOT <br /> . 1. SEPTIC TANKS / <br /> ❑ SEPTIC TANK: MFG. Lia`"--C-?"-"14- CAPACITY !b 0 & MATERIAL G4 et Ci- <br /> VDOSING TANK:MFG. WcA. fe Ccucre f-e CAPACITY /a a 0 MATERIAL Ge.”..cp-e-4-c <br /> ❑ SEPTIC/DOSING TANK: ft/SINGLE COMPARTMENT ❑ TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> • <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES /./ <br /> // <br /> PUMP 1: MFG. � <br /> •© evico MODEL PP 31'O / (INCLUDE PERFORMANCE CURVE) ❑ <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. FA-4 Inn i y s MODEL+4,i4 14-4.1 c r1- XT ❑ <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT FILTER: MFG. MODEL ❑ <br /> DISTRIBUTION VALVE:MFG. MODEL 1 1\V 74 1Z6--- ❑ <br /> U-renco <br /> 3. EFFLUENT TRANSPORT PIPING <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL ❑ LOOP ❑ SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD ❑ ROCK&PIPE ❑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 ❑ 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 ❑ RGF ❑ ATT: TYPE <br /> G:\FORMS\SEPTIC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 ' <br />