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Permit - 1304385
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Permit - 1304385
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Entry Properties
Last modified
4/8/2011 1:39:50 PM
Creation date
9/4/2003 4:33:52 PM
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Permits
Permit Address
9184 GOLF CLUB RD SE
Permit City
Aumsville
Permit Number
93-04078
Permit Type
Permit
Permit Doc Type
Permit Document
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Marion County si~e #; <br />Th~ follOWi~g re~i~emen~ apply to ~h~ evaluation Of an existing <br /> <br /> of Sa=isfactory C~p%etion has ~e~ issu~ for the syste~, the <br /> tank does not re~ire ~umping at ~his <br /> a- authorization No, iCes do no~. Te~ire a field inspection of ~he <br /> <br /> b. ExiSting System ~valuations do re~i~e a fie~d ins~c~ion of the <br /> <br /> If your sewage syst~ i~ mo~ than fiv~ (~) years old and the 5ep=ic <br /> tank ha~ not been pureed within the las~ five (5} years, folloW the <br /> di~ection~ below. If you have proof fha% the septic tank ha~ b~en pu~ped <br /> within the last five (5} yeaCs, section (a) will not be <br /> a. The septic tank mu~ b~ ~um~d by a D.E.Q, licensed septic tank <br /> pum~r. <br /> <br /> field ins~ction to verify Che location a~d condition of <br /> <br />COMPLY N~: ~ti~ Se~vi~ D.E.Q. LIC~NS~ ;: ~9~ <br /> <br />pROPERTY OWNER: Evelyn. & Desm0~ Fusen <br /> <br />PROPERTY ~D~SS: 9284 Got. f_~lub Road <br /> <br /> If 'Ne", explain: <br /> <br />ARE INLET & OUTLET FITTINGS IN PLACE? .. Yes X ; No <br />IS DISPOSAL FIELD BACKING INTO TANK? <br /> <br /> Aumsvi.1,/J~ · Oreaon 97325 <br />APPROXIMATE SIZE OF TANK: 100O ..... ~ gallons <br /> <br />SEPTIC T~K ~T~RXAL: Concrete~ S~1 ; Other <br /> <br />X <br /> <br />(503) 588-5147 s~.~,o, <br />~^x (50~} 588-7(348 ~;~0 Hi$fl St- N[ <br /> <br />(show detail with measurements) <br /> <br /> DA?~ O~ PUMPING <br /> <br /> MC15-S19 <br /> <br />DIAGRA~ OF ~OOS5 ;~ND SgPTIC TANK= <br /> <br /> <br />
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