Laserfiche WebLink
AUTHORIZATIO~ NOTICE/EXISTING SYSTEM ~VALDAT~ON <br /> <br />In Orde~ to properly evaluate yQur existing sewage system, the followin9 <br />informatioa will be necessary: <br /> <br /> 1. If your sewap~ system is less than five {5) yearz old, and we have <br /> an ~pprove~ record of the system, we can proceed without any <br /> f~rther action On your part. <br /> <br /> not ha~e a record of a~ approved installation Of the system: <br /> <br /> If your sewage system iS m~re than five (5) years old or ha~ pos <br /> <br /> A field visit will be required by th~ Sanitarian to verify <br /> required. <br /> <br /> SIZ~ OF SEPTIC TANK:~~OI1ons <br />IS TAN~ ZN GOOD CONDXT~ON? ~YES: NO <br />~E BAFFLES OR ~L~OW~ IN PLACE? ~YES; <br /> <br />IS DRAINFI~LD BACKING 0P INT0 TANK? <br />If yes, explain; <br /> <br />YES; <br /> <br />SEPTIC TANK ~ATERIAL: <br /> <br />NO <br /> <br />Other <br /> <br />DIAGRAM OF BOUS= AND <br />LOCATION OF TANK: <br /> <br />example <br /> <br />Rev 7/89 pb <br /> <br />SIGNATURE OF PUMPER: <br />DATE OF PUMPING: <br /> <br />E <br /> <br /> <br />