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AUTHOriZATION NOTICE <br /> <br />In o~der to properly evaluate your existing seWage systez~, the following <br />infol~ma=~on will be necessary: <br /> <br />have a record of [he system, we can proceed without any further <br />action on your parr. <br /> <br />2. If your sewage system is more than five (5) yea~s 01d or we <br /> <br />a. It will be necessar~ Co have the septic tank pumped. <br /> Have =he septic tank pumper complete the form below. <br />e. A field v~sit will be required by the Sanitarian to <br /> verify the location and co~it~on of the Septic $~s~. <br />d. If you have p~oof that your septic tank ha~ been <br /> p~mped withi~ the ~st five(5) years, see:ions a & b <br /> able ~11 ~o= be require4. <br /> <br />- For Septic Tank Pumper Use <br /> <br />3/82 <br /> <br />~P~0Xn~s sZZS OF S~PTI¢ TANK: ....../~6]~ ~llou$ <br /> <br />DIAG~ 0F HOUSE ~ ~ <br />LOCATION OF TA~: <br /> <br />SIGNATUEE OF PUMPER: <br /> DATE: <br /> <br /> <br />