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MARION COUNTY BUILDING <br /> INSPECTION DIVISION <br /> 5155 Silverton Rd NE <br /> MARION Salem OR 97305 <br /> COUNTY Phone: (503)588-5147 <br /> Recommended Wild Fire <br /> • <br /> Existing System Evaluation Report <br /> Marion County will accept this inspection report in addition to the DEQ Existing System <br /> Evaluation Report (ESER) to assist with expediting the authorization notice approval when <br /> performed by a certified installer, NAWT certified inspector or certified operation and <br /> maintenance provider. NOTE: Evaluations should only be done after all debris removal has <br /> been completed.R <br /> r— A/) 'I <br /> Applicant: -6C.C_G� M' /ALA <br /> Parcel Address: 11 6 I4-0 ItAD S$• �w s <br /> Please fill out all fields with applicable information requested. <br /> 1. Septic Tanks: When performing the evaluation, please flag off septic tank with high visibility <br /> flagging or rope for safety. <br /> Is there visual fire damage to tank and/or tank riser? (Make notes and attach pictures if <br /> possible). <br /> J0 kO u)c,V<-V' l rfr/'Y 16 I S 1 Cu k(iw{ a,,•'-" <br /> )tiS Y'i69 to.,,er.i. <br /> Is there visual evidence of fire burn over the septic tank and if so how deep is the soil cover <br /> over the tank, and what material is the tank constructed of? (Make notes and attach pictures <br /> if possible). <br /> 50 tuve_ t l 5 I -" I 1 o pro 4a'lcA <br />