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MARIONI'COUNTY R['4LDINC';INSPEZTIO i iNDIViDU AL ON-S1TE:SEWAGE SYSTEMt'.RECORD
<br /> a153:Sil ti tin.Rd NE ,(to be completed by system tistalier`)°
<br /> SALEM OR 97305
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<br /> ' (�hn�4 rll'�feiasls anti titr to ►sins is sasv ta.loc tw al heats':ot tfi�s�atem in the luiuiiet
<br /> SYSTEM,,LATERIALS 4 M`SPECW1 - TtONS
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<br /> �L . 3.siii0c.rtmpanment 3A`( r.AVI.T11THE:REQiltisNfiN SPFTF1EFF RMMIT% DTt1F r,tktSTk1►:St.r � L ' tctxF Cans ;OfiLFNVRONMINTA1 OVA
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<br /> Materia . ' ( I g::hl uh AQ rtiave.ieacslthe.septic lank and,curtifi.it to-t eaiunJiiy t
<br /> E tiln rnt Sewer H adrr•Pipe, ,, ,"ih4 s)stcrri'was`installed by,.:
<br /> Srici'ltair . /.:5- a su eiStat i •1+i Pt1c 1 .)Pmp 1$C) .1 erz(permttteO
<br /> cnag,c t�tspo'al Service .
<br /> DILiI\FIELD:: rack`depth tinclies) (;aural eja / eeat d
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<br /> • Rrreic,and ussli + v�r
<br /> p`.., �I ., 1 I ,.. =:I COn--.. F)Et}Fares,� `umixr �Lf,�&'
<br /> Ptp ttdai c h 1.�.` [ l Otal fiututn; i I i'lasHI::
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<br /> Ortmtrclii t4tat,•'6.- tQert+auk orpecf,pips] . )4r`. .G 1't� - ._.
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<br /> - Tatai Dcaia6etd E ti►tey s Trtst6 Dtpiiimiiliotim._ Maxrmtun:
<br /> r curtsis Dt^ars 1k tttt Signitk r /
<br /> E faeat Pnnsp:•!'tmip Moiel „„
<br /> Pump s ric :
<br /> . times inminurrs•-can l�atil: of —^' Gallons;potCvclr
<br /> Comlram time, ;-- � y: .e, 4` c,%:: Z f C. a
<br /> ' #T4 Stale lad 3todtI .�t o I!'21C hYr 5. • -�."r p Intl _
<br /> lrtubaaidd1trcoapAJ tcattsnfiliotti tcd.iiiv` :Bairn- C . Z
<br /> (Far:%lirtotr Catty se Out )The above septk sx.4em ha"s been inspected bi ttanon Count _ `the intotmatum has been tetermmtd to°ist:g1NIT4r.
<br /> 04 the s)stomas; A i" , tx! . I I:Approved wiith ccorrections.see.inspecturn•.report (;I;Denied /C;1
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<br /> "►1C'S-31' Ri 4 t.�;.:14;11117 "tr*Ft>insc�Se}riixs -+[1•eXs-$titt�113Yersvatitfi7;t3oc , '. - i{NT7'EFr.s,'urttn.Cntmtt.YEf:I.C3t�Citr�lti,t�;htlt1fltfia`
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