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AUTHORIZATION NOTICE/EXISTING SYSTF~M EVALUATION <br /> <br />PU~PER FOFJ~ <br /> <br />following <br /> <br />to properly evaluate your existing sewage system, the <br />information will be necessary: <br /> <br />If your sewage system is less than five (5) years old, <br />and we have a record of '~he system, we can proceed <br />without any further action on your part. <br /> <br />If your sewage system is more than five (5) years old <br />and/or we do not have a record of the system: <br /> <br /> a. It will be necessary to have the septic tank <br /> pumped <br /> b. Mave a DDQ licensed septic tank pumper complete <br /> the form below <br /> c. A field visit will be required by the Sanitarian <br /> <br /> d. If you have proof that your septic tank has been <br /> pumped within the last five (5) years, sections a <br /> and b above will not be required. Provide <br /> verificatioe of pumping (receipt from pumper) to <br /> this office. <br /> <br /> -~FOR S~PT~C TANK PUMPER USE ONLY-~ <br /> <br />PROPERTY OWNER: <br /> <br />~8 T~K IN GOOD CO~IT~0N? <br />SEPTIC TANK ~T~RIAL:~ ~ ~crete Steel ~ Other <br /> <br />3/82 Rev 10/87 <br /> <br /> <br />