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�,,� Marion County Public Works1 EC E Vq9 <br /> ,SII �'''�����,,� Building Inspection Division <br /> _����`��_ 5155 Silverton Rd NE 6 NOV 16 c6020: <br /> Ty-.,,.1�.��Ns Salem OR 97305 <br /> `- (503) 588-5147 Fax(503)588-7948 <br /> MARION COUNTY <br /> http://www/co.marion.or.us BUILDING INSPECTION <br /> . 5-5-5--4-400W8 _ pp./T- <br /> ON-SITE <br /> IQMTON-SITE SYSTEM MATERIAL LIST <br /> �// (DIRECTIONStt <br /> &DEFINITIONS ON BACK) <br /> ADDRESS / / b g `"` e � AX LOT# 0---C/Mr <br /> ( .Odd • <br /> �L`v'-ix o.- -- . SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS /' SprrGS <br /> ❑ SEPTIC TANK: MFG. CAPACITYa, JO MATERIAL CO C✓ 7- <br /> 0 DOSING TANK:MFG. CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK: 0 SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. CAPACITY MATERIAL <br /> A-/ri 150 0 i we l OW, Aaui tIP le 6 COQ �' r X• MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER: MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> 3. EFFLUENT TRANSPORT PIPING rnL /( /�Is-s- f r <br /> ❑ GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL " FALL(IN INCHES) / <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> I( GE4- C- BOG Sl-eeu.( -0c)v--- <br /> , �1�/vievi,�— <br /> 4. DISPOSAL FIELD(DRAINFIELD) Sc. { f•n <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP ,SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: Ci S-7 <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD )<ROCK&PIPE 0 OTHER . <br /> TOTAL DEPTH / 2____ DEPTH BELOW PIPE .b ' <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN/ C <br /> /2// MAX l . <br /> CAPPING FILL DEPTH(DEPTH OF CAP): /0 7,P3SETBACKS FROM WELLS: SEPTIC TANK 1 C j() SAND FILTER OR ATT UNIT DRAINFIELD <br /> Ng' P <br /> VRtIVOL I CtIU <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) ----87,7, <br /> .m •y P- -- <br /> ❑ CURTAIN DRAIN ❑ TILE DEWATERING _ r r' <br /> TRENCH DEPTH: <br /> DRAIN MEDIA: ❑ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE ❑ 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 />