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Marion County Public Works <br /> +I� ua„� Building Inspection Division <br /> 5155 Silverton Rd NE /p_ 06(5x3 <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 `35-1 /'tc U2 r C S : TAX LOT# <br /> SECTION TOWNSHIP RANGE LOT <br /> • <br /> 1. SEPTIC TANKS <br /> ❑ SEPTIC TANK: MFG. (Pc,t, s CAPACITY loan aa-I. MATERIAL Ca” C ✓'��Z <br /> ❑ DOSING TANK MFG. CAPACITY V MATERIAL <br /> ❑ SEPTIC/DOSING TANK: SINGLE COMPARTMENT ❑ TWO COMPARTMENT ❑ FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. bremA.46 MODEL V F 3 00 6 (INCLUDE PERFORMANCE CURVE) l <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) U <br /> CONTROL PANEL: MFG.‘144r:c m • MODEL A X B �a <br /> HYDROSPLITTER: MFG. MODEL • (INCLUDE ORIFICE CALCULATIONS) <br /> EFFLUENT FILTER: MFG. OPv-41„GO MODEL FIS 644q L) 3(n <br /> DISTRIBUTION VALVE:MFG. MODEL <br /> 3. EFFLUENT TRANSPORT PIPING <br /> GRAVITY EFFLUENT SEWER: LENGTH _ DIAMETER MATERIAL _ _ FALL(IN INCHES) _ _ <br /> PRESSURE PIPING: LENGTH 12o1 DIAMETER •5 f MATERIAL 1>l/C PSI SD • <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: ❑ EQUAL 0 LOOP Jo SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 5cs <br /> TT-- <br /> DRAIN MEDIA: ElL GRAVEL-LESS ABSORPTION METHOD ❑ROCK&PIPE )OTHER z 0.-•-3 <br /> TOTAL DEPTH DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN 2 LI d• MAX 30 <br /> CAPPING FILL DEPTH(DEPTH OF CAP): N.I� v LLJLiy <br /> SETBACKS FROM WELLS: SEPTIC TANK Al//k SAND FILTER OR All UNIT DRAINFIELD Al)04' <br /> • <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) Ct <br /> ❑ CURTAIN DRAIN 0 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 J� _ff `� <br /> ❑ SAND FILTER C RGF rATT: TYPE Ad1� , AQP P�D R1-0,1 <br /> G:\FORMS\ShP1IC\FORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />