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Permit - 1270499
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Permit - 1270499
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Entry Properties
Last modified
6/18/2012 11:07:20 AM
Creation date
9/2/2003 4:38:59 PM
Metadata
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Template:
Permits
Permit Address
11937 CAUSEY LN SE
Permit City
Aumsville
Parcel Number
081W33B 00700
Permit Type
Permit
Permit Site Number
8500
Permit Doc Type
Permit Document
Status
Ready to Film
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In order %o properly evaluate your c×isting ge%age s]'~;tcm, the fol~ <br /> <br />If ~our ~c'wage system is less thJ!n five (five) years old, and ~.c ha~,e <br />aR approved record of the system, '.e ca~ proceed ~ithout any fn: ther <br />action on your part. <br /> <br />If your se~'age system is less %ban five (5) years old, <br />have a record of an approved installation of the system: <br /> <br />If your ~c~'age system is more than five (5) <br />pmnper ~'ithin the last five years:.- ~ <br /> <br />a. You must have the septic tank pu:x~3ed, <br />b. Have the septic tank pun~per co.plate the form below. <br />c. A field visit will be required by the <br /> location and condition of th~ septic syste~ <br /> tf you have p~oof that your septic tank <br /> last five (5) years, section, s a & b will not be required. <br /> <br />d. t_l~e <br /> <br /> For S,eptic T,~nk PuL:par Use Only <br /> <br />CO:',~h',NY N;,~iE:Stayt°n' Mill City & Silverton ~ptic ~C~EQ LIC~NSE NO: 34916 <br /> <br />PI~OP~RI'Y O~NER: ~ & ~r~a ~lin <br /> <br /> A~sville, OR <br /> <br />'~I~I~]!tDXI~%ARE SiZE OF SEPI'iC TANK: <br /> <br />IS TLNK 1N GOOD CONDITION? <br /> <br />ARE BAFFLES OR ELBO%~S IN PLACE? <br /> <br />I$ DRAINFIELD BACKING UP %Ni'O TANK? <br /> <br />1000 Gallons <br /> <br /> IQ~ YES; ....... NO <br /> XX YES; NO <br /> <br />........... . <br /> <br />If yes, explain; ............................................................ <br /> <br />~EPI'IC TANK ~!ATERIAL: Con~~- ~te :3tcel_~ ............. other .......... <br /> <br /> X <br /> <br />I_. 1--5 <br /> <br /> ~- s* ,~e ....... .- <br /> <br />W <br /> <br /> <br />
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