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MARION COUNTY PUBLIC WORKS <br /> BUILDING INSPECTION DIVISION <br /> 5155 Silverton Rd NE <br /> Salem OR 97305 <br /> (503) 588-5147 FAX(503) 588-7948 <br /> http://publicworks.co.marion.or.us/building/ <br /> SEPTIC TANK ABANDONMENT FORM <br /> THE SEPTIC TANK AT: 6836 Silver Ridge Rd SE Sublimity OR 97385 <br /> ACTIVITY NUMBER: 555-23-003253-PRMT <br /> WAS PUMPED BY: N/A <br /> DEQ License# 39474 <br /> DATE TANK PUMPED: Due to being abandoned for so long and being rotten <br /> steel the tank was dry and appeared empty. (July 15th 2024 ) <br /> ENCLOSE A COPY OF THE PUMPING RECEIPT WITH THIS FORM. <br /> THE TANK WAS: <br /> [] REMOVED <br /> [] FILLED <br /> (NOTE: The bottom of the tank should be perforated or cracked to prohibit the <br /> accumulation of surface water in the tank) <br /> FILL MATERIAL: <br /> [] REJECT SAND Tank was crushed in place. Bottom of tank <br /> [] BAR RUN GRAVEL was full of holes. <br /> [] CRUSHED ROCK <br /> COMPANY Flowline onstruction LLC <br /> SIGNED: DATE: <br /> MC S-02 <br /> rev:6/03,12/10 <br />