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MCBI POLICY/PROCEDURE <br /> <br />SEPTIC SYSTEM CERTIFICATION <br /> <br />Section 1313 <br /> <br />- Procedure <br /> <br />Whenever a building permit application is submitted for an accessory structure <br />of alteration/addition where bedrooms (or sewage flows) are not affected, and <br />there is an e~isting septic system, the applicant must complete the following <br />statement. This statement is to be attached to the application/permit. <br /> <br />PROPERTY OWNER: <br /> <br />SIT~ ADDP~ESS= <br /> <br />SITE NUMBER= <br /> <br />SEPTIC SYSTEM CERTIFICATION <br /> <br />I, hereby, certify that the attached site plan is an accurate representation <br />of the conditions on my property, and that the proposed structure meets alt <br />minimum setback requirements from the existing septic system, and the future <br />septic ~ystem replacement area. <br /> <br />I further certify that I have, to the best of my abilities, thoroughly <br />inspected the septic system and found no evidence of any failure. The system <br />appears to be functioni%q in~..sa~sfactory~ ~i manner at this time. <br /> <br /> (pr~r~y OWn~ o~-authorized agent) <br /> <br />Mc15~S38 <br />Rev 2/93 <br /> <br /> <br />