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MAR--19--96 TUE 18:28 AM $~o~$e~ i~Co~s~u~ 50~ ?69 ~892 P.82 <br /> <br />Marion County <br /> <br /> OREGON <br />COMMUNITY DEVELOPMENT <br /> DEPARTMENT <br /> <br />Building Inspection Division · Community Development Center <br />285 Church Street NE · Room 132 * Salem, OR 97301-3670 <br /> <br />SEPTIC TANK ABANDONMENT <br /> <br />IVIARION COUNTY <br />BUILDING INSPECTION <br /> <br />THE SEPTIC TANK AT: <br /> <br />20A M~v~rs ~treet <br />Detroit, Oregon <br /> <br />WAS PUMPED BY: <br /> <br />Stayton, Mill City & Silverton <br /> Septic Services DE~ #34916 <br /> (licensed D.E.Q. pumper) <br /> <br />DATE TANK PUMPED: <br /> <br />2/15/96 <br /> <br />THE TANK WAS: <br /> ~ REMOVED <br /> <br />[] <br /> <br />FILLED <br />(note: the bottom of the tank should be per- <br />forated or cracked to prohibit the accumula- <br />tion of surface water in the tank) <br /> <br />FILL MATERIAL: .[. ] REJECT SAND <br /> [ ] BAR RUN GRAVEL <br /> [ ] CRUSHED ROCK <br /> [ ] OTHER:, <br /> <br />ENCLOSE A COPY OF THE PUMPING RECEIPT WITH THIS FORM. <br /> <br />PERMIT #: 96-902 <br /> <br />DATEf~ 3/11g~/96 <br /> <br />SITE #: <br /> <br />· abandon.~nk 4/95 <br /> MC-I$oS2 <br /> <br /> <br />