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Permit - 1301083
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Permit - 1301083
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Last modified
4/14/2011 2:37:30 PM
Creation date
9/4/2003 3:08:57 PM
Metadata
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Template:
Permits
Permit Address
9194 SHAW SQ SE
Permit City
Aumsville
Permit Type
Permit
Permit Site Number
7653
Permit Doc Type
Permit Document
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information will be necessary: <br /> <br /> 1. If your sewage system is" less than fiYe (five) <br /> an approved record of the system, <br /> action on your part. <br /> <br /> system, the following <br /> <br /> years old, and we have <br />we can proceed without any further <br /> <br />If you~ sewage Sy~:em Ks less than five (5) years old, and we do not <br />have a record of an approved installation of the system: <br /> or; <br />If your sewage ~s~em is more than five (5) year~ old or has not been <br />pumpe= wi=bin the last five years: <br /> <br />a. YOu must have the septic tank pumped, <br />b. Have the septic tank pumper COmplete the form below. <br /> A field visit will be required by the Sanitaraian <br /> location and oondi~fon of the septic system. <br /> <br /> to verify the <br /> <br />If you have proof that you~ septic tank has been pumped within the <br />last five (5) years, sections a & b will not be required. <br /> <br />ADDRESS W~ERE TANK P~Mi~D: ~ <br /> <br />I$ TANK IN GOOD CONDITIOn? <br /> <br />ARE BAFFLes OR ELBOWS IN PLACe? <br /> <br />iS DRAINFIELD BACKING UP INTO TANK? <br />If yes, explain; <br /> <br />SEPTIC TANK MATERIAL: Concrete. <br /> <br />Tank Pumper Use Only <br /> <br /> q <br /> <br /> .gal lon~ <br /> <br /> NO <br /> <br /> ..... NO <br />~ NO <br /> <br />~teel <br /> <br />Othe= <br /> <br />LOCATION OF TARK: <br /> <br /> 6 ' ~ <br /> <br />3/82 ~ev ~0/87 <br /> <br />W <br /> <br />DATE: <br /> <br /> <br />
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