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AUTHORIZATION NOTICS/EXISTING SYSTEM EVALUATION <br /> <br /> PUMPER PORM <br /> <br />In order to properly evaluate your existing sewage system, the following <br />information will be necessary: <br /> <br />If your sewage system is less than five (5) years old, and we have <br />an approved record of she system, we can proceed without any <br />further action on your part. <br /> <br />MARION COLJNi ~ a. <br />BUILDING INSPECTION' <br /> <br />If your sewage system is less than five ($) years old, and we do <br />not have a record of an approved installation of the system; <br /> <br /> or; <br /> <br />If your sewage system is more than five (5) years old or has not <br />been pumpe~ within the last five years~ <br /> <br /> You must ha~e the septic tank pumped. <br /> ~ave the septic tank pumper complete the form below. <br /> A field visit will be reguired by the Sanitarian to ~erify <br /> the location and conditiop of the septic system. <br />d. If you have proof that your septic tank has been pumped <br /> within the last five (5) years, seotion$ a s b will not be <br /> requi~ed. <br /> <br /> For Septic Tank ~um~er ~se Only <br /> <br />AP~ROXIMAT~ SIZE OP SEPTIC TANK: <br /> <br />IS TANK IN GOOD CONDITION? <br /> <br />ARE BAFFLES OR S~OWS IN PLACE? <br /> <br />IS ~RAINFIELD BACKING UP INT0 TANK? <br /> <br /> If yes, explain; <br /> <br />SS~TIC TANK MATERIAL: Concrete ~ <br /> <br />1~' YES: NO <br />__YES; ~ NO <br /> <br />Steel Other <br /> <br />DIAGPJ~4 OF ~OUS~ AND <br />LOCATION OF TANK: <br /> <br />example: <br /> <br />Rev 7/89 pb <br /> <br /> <br />