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Xn order'to properXy evaluate ¥ou~ existing sewage system, the £oi~ow~ng <br />Xnfo~tion ~i~l.be necessary: <br /> <br /> an approved ~eco~d O~ th~ system, we can proceed without any ~he~ <br /> 2. X~ youz ~waqe s~tem is less than five (5} year~ ~1~, ~nd ~ do no~ <br /> <br /> ~f you~ sewage system i~ More than ~ive (S) yea~s old or has no~ been <br /> p~er within ~he las~ five years: <br /> <br />You mus~ have the septic tank pumped, <br />Have =he septic tank p~mpe= complete the form below. <br />A f~eld visit will b= re~ui~e~ ~y ~he San~taraian to verify ~he <br />location and condition of =he septic ayatemo <br />If you have proof that your ~eptic tank has been pumped within the <br />last five (S) years, ~e=tion~ a .& b will not be r~quired~ <br /> <br /> Fo: Septic Tank Pumper Use Only <br />co~ ~.~: o~4ve-~ton~.~c se~vi~e~ ...... DSO UZCS~S~ ~o:._~9~ ,/ <br /> <br />PROPERTY OWNER: Adria~&JD~e.t~merv <br />ADDRESS WH~ TANK PUMPED: 1~ ~= .... <br /> <br /> Detroit. <br />APPROXIMATE SIZE OF SEPTIC TANK: 1000 <br />IS TANK ~N GOOD CONDITION? <br />ARE BA~P~S OR ELBOWS IN Pi,ACS? <br />IS DRAXNFiELD ~LRCKING ~P INTO TANK? <br /> If year explain; <br />SEPTIC TANK MATERIAL: Concrete .... <br /> <br />gallo~s <br /> <br /> Y~$; <br /> YES; <br /> <br />xx O~he~__ <br /> <br />=aah OF a0U~ A~D <br />CAT~ON OF YAle: <br /> <br />Rev 1o/87 <br /> <br />W <br /> <br /> · - p-Fy L 7' <br /> <br /> Stayton, Mill city and <br />$1~;NATORE OF PUWP~R= silverton,,,Septic Serv~,,~9~' <br /> DAT~: Auqust. 9,~ 1991 <br /> <br /> <br />