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The ~OllOwlng requirements apply to the evaluation of an existing on-site <br />sewage system. Please select the appropriate ~ection and follow the directions <br />carefully. <br /> <br />If your sewage system is less than five (5) years old and a <br />Certificate of SatisfactOry Completion has been issued for the <br />system, the septic tank does not require pumping at this time. A <br />field inspection wall be made of the entire system and a report <br />will be issued. <br /> <br />If your sewage system is more than five (5) years old and the <br />septLc tank has not been pumped within the last five (5) years, <br />follow the directions below. If you have proof that the septic <br />tank has been pumped within the last five (5) years, sections <br />and (b) will not be required. <br />a. The septic tank must be pumped Dy a D.E.Q. licensed septic <br /> tank pumper. <br />b. The septic tank pumper must complete the form below. <br /> c. A field inspection will be required by ou~ on-sAte staff to <br /> verify the location and condition of the septic system. <br /> <br />*for septic pumper use only* <br /> <br /> (please print) <br /> <br />ApPROX~TE SIZE 0P TANK: <br />SEPTIC T~K ~TERIAL~ Concrete~ ; <br />~S T~K IN G~D CONDITION? ............. Yes .... ; <br /> <br /> If "No", explain: <br />~ INLET & OUTLET FITTINGS IN P~C~? .. Yes~ ; <br />I$ DIS~OS~ FIELD BACKING INTO T~K? <br /> <br /> If "Yes", explain: <br /> <br />DIAG~ OF ]~OUSE AND SEPTIC T~K: <br /> <br />N <br /> <br /> .gallons <br />; other <br /> <br /> No <br /> <br />NO <br /> <br />MARION COUNTY <br />BUILDING INSPECT)ON <br /> <br />DATE OF PUMPINC <br /> <br /> <br />