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s -—-._ <br /> ,. <br /> , <br /> Marion County Public Works <br /> „„* , ,iii.,'' . • Building Inspection Division <br /> .C., <br /> 1���- �_ 5155 Silverton Rd NE E f�/ I I) <br /> �l���` Salem OR 97305 <br /> (503)588-5147 Fax(503)588-7948 F fl.. <br /> http://www/co.marion.or.us JAN 16 201g <br /> 1 <br /> rviAksON COUNTY <br /> . BUILDING INSPECTION <br /> ON-SITE SYSTEM MATERIAL LIST ' . <br /> . (DIRECTIONS&DEFINMONS ON BACK) <br /> ADDRESS J1 1 LI ieC2 &(.O . TAX LOT# 03 —Sid °- 3 ` /66 <br /> . SECTION TOWNSHIP RANGE LOT <br /> 1. SEPTIC TANKS ., /600 <br /> / '` <br /> ' ❑ SEPTIC TANK: MFG. (.Z'Ce -e ,CAPACITY /60 MATERIAL (1U c (! P_ <br /> ❑ DOSING TANK MFG. • CAPACITY MATERIAL <br /> O SEPTIC/DOSING TANK: ❑ SINGLE COMPARTMENT ❑ TWO COMPARTMENT 0 FLOWTHROUGH <br /> MFG. CAPACITY:- MATERIAL <br /> MFG.'S SPECS.INCLUDED <br /> 2. PUMPING ASSEMBUES • . <br /> PUMP 1: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL,: MFG. MODEL ❑ <br /> HYDROSPLI TER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 <br /> EFFLUENT FILTER MFG. MODEL 0 <br /> DISTRIBUTION VALVE:MFG. MODEL 0 <br /> • <br /> 3. EFFLUENT TRANSPORT PIPING / / <br /> ❑ GRAVITY EFFLUENT SEWER LENGTH 150 l DIAMETER �f t.C MATERIAL Sch l W. FALL(IN INCHES) /® !r <br /> ❑ PRESSURE PIPING: LENGTH DIAMETER MATERIAL •PSI <br /> 4. DISPOSAL FIELD,(DRAINFIELD) <br /> DISTRIBUTION TECHNIQUE a` EQUAL i LOOP 0 SERIAL ❑ PRESSURIZED • <br /> TOTAL LINEAR FOOTAGE: VSD r <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD VI ROCK&PIPE ❑OTHER . <br /> TOTAL DEPTH I Z rr DEPTH BELOW PIPE . 6 a f ' <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE): MIN /8---- MAX 3 �� <br /> 6 <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 /> TRENCy DEPTH: <br /> DRAIN MEDIA 0 ROCK&PIPE ' ❑OTHER • • <br /> • TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC <br /> PERFORATED PIPING: DIAMETER MATERIAL <br /> 6. ADVANCED TREATMENT UNITS • <br /> ❑ SAND FILTER ❑ 'IMF ❑ ATT: TYPE • <br /> • <br /> G.IFORMS1SEPTICWORMSIS-60 MATERIALS LIST.DOCX Rev 3/18 <br />