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�,,, Marion County Public Works <br /> di �'''ii„Nit 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. • J -7 ' TAX LOT# <br /> 1 . r on 3 SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS <br /> ;p SEPTIC TANK MFG. 1/3.10-4e._ CAPACITY 11('1CiL MATERIAL <br /> ❑ 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: MEG. MODEL (INCLUDE PERFORMANCE CURVE) El <br /> RUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <br /> CONTROL PANEL: MFG. MODEL ❑ <br /> }IYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) ❑ <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL El <br /> 3. EFFLUENT TRANSPORT PIPING PVC_ <br /> % <br /> '� GRAVITY EFFLUENT SEWER: LENGTH & ) ( DIAMETER L C it MATERIAL <br /> .YG FALL(IN INCHES) j 'i- <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE WI EQUAL ❑ LOOP ❑ SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: 3� <br /> DRAIN MEDIA: ❑GRAVEL-LESS ABSORPTION METHOD 0:1ROCK&PIPE ❑OTHER <br /> TOTAL DEPTH (2-" DEPTH BELOW PIPE 6 :` <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN MAX <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> SETBACKS FROM WELLS: SEPTIC TANK 5) (`t` SAND FILTER OR ATT UNIT DRAINFIELD (CU(�f" <br /> 5. DEWATERING SYSTEMS(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 /> D SAND FILTER ❑ ROE ❑ ATT: TYPE <br /> O:\FORMS\SEPTIC\FORMS\S-6O MATERIALS LIST.DOCX Rev 3/18 <br />