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Marion County Public Works <br /> -.iiI k����,,,� Building Inspection Division <br /> 5155 Silverton Rd NE - <br /> •��%;��`4` Salem OR 97305 <br /> �a <br /> iiii <br /> (503)588-5147 Fax(503)588-79481 ( '� <br /> http://www/co.marion.or.us b�njI�_=� lt_ 11 <br /> - - _L-__,in) <br /> 1��r,S Aft 5 2079 .-1 <br /> ON-SITE SYSTEM MATERIAL LIST • , t��L( cE�r�`l C; �s , <br /> (DIRECTIONS&DEFINITIONS ON BACK) • L#P\184:.- :.- r <br /> N <br /> ADDRESS 5-S- �-p s 14� <br /> � S� TAX LOT# <br /> . SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS • <br /> - 0 SEPTIC TANK: MFG. __ CAPACITY,.7F-3�-�CJ MATERIAL CO - <br /> I. DOSING TANK:MFG. = CAPACITY Y MATERIAL C-E4( <br /> SEPTIC/DOSING TANK: 0 SINGLEINCOMPARTMENT � TWO C MPARTMENT ❑ FLOW-THROUGH <br /> MFG. ili Ode CAPACITY Ot. CO MATERIAL Cbl` <br /> MFG.'S SPECS. INCLUDED <br /> 2. PUMPING ASSEMBLIES - . <br /> PUMP 1: MFG. 0 Ve fAco MODEIPF 36C61 I (INCLUDE PERFORMANCE CURVE) /EI. <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) ❑ <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 ❑ <br /> 3. EFFLUENT TRANSPORT PIPING • • <br /> 7 GRAVITY EFFLUENT SEWER: LENGTH DIAMETER MATERIAL FALL(IN INCHES) <br /> 0 PRESSURE PIPING: LENGTH DIAMETER MATERIAL •PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP 0 SERIAL ❑ PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: q c-c.) <br /> DRAIN MEDIA: GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER . <br /> TOTAL DEPTH 42..1 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 t 2-0+ SAND FILTER OR ATT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: t"I?_,I <br /> DRAIN MEDIA: )OCK&PIPE ❑OTHER • <br /> TOTAL DEPTH DEPTH BELOW PIPE ,❑ FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS <br /> 0 SAND FILTER 0 'RGF 0 ATT: TYPE . • <br /> • <br /> G:\FORMS\SEPTICWORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br />