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AUTHORIZATION NOTICE/EXISTING SYSTEM EYALU~TiO~ <br /> <br />If yOUr sewag~ ~ys%em is ~Or~ than five (5) years old Or has not <br /> <br /> A field ~it will be required by the Sanitarian to verify <br /> <br /> Zf you have proof that yo=r septic tank ha~ been pumped <br /> within the last five (~) years, ~ection~ a & b will not be <br /> <br />required. <br /> <br /> ~or ~eptic Tank <br /> <br />IS TANK IN GOOD CONDITION? <br /> <br />ARE BAFFLES O~ ELDOW~ IS PLACE? <br /> <br />I~ DRAINFIELD ~ACKING UP INT0 TANK? <br /> <br /> If yes, explain; <br /> <br />SEPTIC TANK ~ATERIAL: Concrete <br /> <br /> gallons <br /> <br /> ¥~; .... NO <br />YES; ~'/ NO <br /> <br />DIAGRA~ 0F ~OUSE AND <br />LOCATI0N OF TANK~ <br /> <br />example <br /> <br />~22 t _ X <br /> <br />Rev 7/89 pb <br /> <br /> <br />