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Marion County <br /> <br /> OREGON <br />COMMUNITY DEVI~LOPMENT <br /> DEPARTMENT <br /> <br />Building Inspection Division · Community Development Center <br />285 Church StreetNE · Room '132 ° Salem, OR 97301*3670 <br /> <br />SEPTIC TAI~K ABAATDONMENT <br /> <br />THE SEPTIC TANK AT: <br /> <br />Steve Sturdivant~ <br />8561 Little Road <br /> <br /> Aum ¥'lle Ore o 97325 <br /> <br />WAS PUMPED BY: S -- ' ' Services <br /> (licensed D.E.Q. pumper) <br /> <br />DATE TANK PUMPED: October 4, 1996 <br /> <br />THE TANK WAS: <br /> IX] REMOVED <br /> <br />[ ] <br /> <br />FILLED <br />(note: the bottom of the tank should be per- <br />forated or cracked ~o prohibit the accumula- <br />tion of surface water in the tank) <br /> <br />FILL <br /> <br />MATERIAL: <br /> [ ] 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:~ 96-06931 <br />SITE #: <br /> <br />DATE: 10-9-96 <br /> <br />abandon,~nk 4/95 <br />MC-15-S2 <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> <br /> <br />