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Zn order to properly evaluate your existing sewage system, the following <br />information will be necessary: <br /> <br />rf your sewage system is less than five (5) gears old, and we <br />have an approved reco~d of the system, we can proceed without <br />any further action on your part. <br /> <br /> 2. If your sewage system is less than five (5) years old, and we <br /> do not have a record of an approved installation of the system: <br /> <br /> or; <br /> If your sewage system is more than five (5) years old or has not <br /> been pumped within the last five gears: <br /> <br /> a. You must have the septic tank pumped. <br /> b.. Save the septic tank pumper complete tile form below:' <br /> c. A field visit will be required by the Sanitarian to' <br /> verify the location and condition of the septic.system. <br /> d. If you have proof that your septic tank has been <br /> pumped within the last five (5) years, sections a <br /> will not be required. <br /> <br /> -For Septic Tank Pumper Use Only- <br /> <br /> / <br /> <br />APPROXIMATE SIZE OP S~PTIC TANK: /~ gallons <br />IS T~K IN GOOD CONDITION? ~ES; <br />AR~ BAFFLES OR E~OWS IN PLACE? ~ES; <br /> <br />IS DRAINFIELD BACKZNG UP INTO TANK? <br /> <br />YES; <br /> <br />NO <br /> <br />NO <br /> <br />explain; <br /> <br />D£AGRAM OF HOUSE AND <br />LOCATION OF TANK: <br /> <br />EXAMPLe: <br /> <br />6'~ Septic Tank <br />22'- <br /> <br /> ~Stroot <br /> <br />Rev. 2/86 <br /> <br /> <br />