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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Churoh ~treet NE · Room 132 · Salem, Oregon 97301~670 <br />Office Hours: 8:00-4:30 · Phone: (503) 5~8-$147 · ~ Inspection Line: (503) 373-4427 <br /> <br /> TI4COI~PI.F. TK .~..PTTC APPI.TCATTOH <br />PATF/TTI4F s 97/?&/97 FILEHO = 97-91978 <br />TYPF. : H'i.,~':eT1. a'n~,rms R~ptic P~.rn F~ ~ ~PPLZEB'. ;)2/18/1997 <br /> <br />P/~,K u t TO EXPZRE' . g2/26/1998 <br />IgIRK ~..~C ; RF:-THRP~.eT F~E ~ ~. <br /> <br />SZTE PJiI~F~q u 767i MFAVFR L# SE MI CZT~s I~RI(]H COUNTY <br /> <br />AF'PLTrANT t FMITI.Y crJHTRtM'~rTI, IG .qI-.'KqITCKS LI)~I~.R z FtMtTLY COHT~ACT'IH; SER¥ICE6 LLC <br /> AD~ ~ J76i~ PFARN~tl AgF I~ ADDI~ ! 25~3-~PHMI 9E EUITE 21 <br /> <br /> i KE'4r7FR, OR I <br /> : 97.';l~3 ~ 973111 <br /> <br />l~forp any rpvi~, lipid or othernt~ of your proposed -.~ptic application can be cantinu,4t.~ <br />~h~. fnttwing n4rk~ it~ of informal:ion ~mst be ,eolmi,L'ted; <br /> <br />] T~ (?) tPst ho]Ps m~st be dug b~fore a f~e]d inspection can be eade (see at~:achmJ <br /> 'T~.st Hote <br /> <br />] T~o (?) d~taJl~ site pl,g,'w~, dra,, to sca1~ and ii, lading a!Z data as highlighted <br /> ~n th~. 4ttach~d~ 'Tn~truct~ons for Preparation nfa Site Pla~'. <br /> <br />~ £ <br /> <br />· £ <br /> <br />] The ~.xisting ;~tic tank must ~ pu~d by a ~ licensH pu~ping contractor and <br /> v~rificat]on of pumping sulmitted to this office (see attached 'Pumper Fnrm'). <br /> <br />C - ] Oratnftmlds mst be staked according to the attech~d, '~takeout Procedure Guideline. ~- <br /> <br />..£ ] £a~ent~ ~st bP pr~i~ aM. apprm~d by this off~ce prior to recording. copy of the recorded eas~nt mmt be ~ubn~tt~l prior;to pWrntt issuance. <br /> <br />form ~bnitt~d prior to permit tsqu4n~e. <br /> <br />] TI~ ,el1 ~ust be abandoned and the a~tached, 'Meal i~bamJom~nt' form subwitt~d'. <br /> <br /> ] T,o (2) dc~ail~d plans for the construction of a ~M Filter System ~st be <br /> <br />the a6~. At ~at ti~, tho application#ill expLre a~ f~ ~11 be forfeitK~ ~ ** <br />~ ar~ an~ ~io~ p]~a~ do ~ h~a~,~o ca~. ~r off~ce ~rs are. <br /> <br /> <br />