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P~MP~ FORM <br /> <br />In o~der to Drogerly evaluate your existin~ sewage ~ystem, the £ollowin~ <br /> <br /> 1. ~f your sewage system is less than five (5) years o1~ and we have <br /> <br /> 2. If your sewage sys%em ~s less th~n five (S] years old, and we do <br /> <br />You must have the sep%ic ~a~ pumDed. <br />~ave the septic ~ank p~m~e~ Complete the form below. <br />A field ~i~it will be r~qui=~d by the Sanitarian to verify <br /> <br />requi~. <br /> <br />APPROXIMATE SIZE OF SEPTIC TANK: <br /> <br />~S TANK IN GOOD CONDXT~ON? <br /> <br />;%RE RAFFLES OR £L~OWS IN PLACZ? <br /> <br /> If yes, explaln; <br /> <br />~ NO <br /> <br />DIAGRAM OF ~0U$~ AND <br />LOCATION OF TANK: <br /> <br />example <br /> <br />Rev 7/89 pb <br /> <br />N <br /> <br /> <br />