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T~ fo[lowing r~quireme~s apply to the evaluation of an existing on-site <br />carefully. <br /> <br />[f your sewage system is less than five (~) Years old and a Certificate <br />of Satisfactory Completion h~s been issued for ~he system, the septic <br />~ank does ~ot require pumping at this time~ <br />a. Authorization Notices do no~, requi~e a field inspeotion of the <br /> system, A re~ort can be issued based O~ a review of O~r files. <br />D, Exis%ing System Evaluations ~to require a field inspection of the <br /> enti~e system and a re~ort will be issued. <br /> <br />If your sewage system is mo~9 than five (5} year~ old and the septic <br />tank has not ~een pumped within the %asr five (5) years, follow the <br />directicns below~ ~f you have proof that the septi~ ~ank has bee~ pumped <br />withio the las~ five (5) years, section (~) will no~ be required. <br />a. The septic tank must be pumped by a D.E.Q. licensed Septic tanR <br /> pumpe~. <br />b- The ~eDtic tank pumper mOS% complete the form b~low. <br /> Authorization Notice~ and ~xistin~ System ~valuatio~$ requi~s a <br /> <br /> *for septic pum~r us~ o~ly* <br /> <br /> NA~E: <br /> <br /> / <br /> <br /> APP~OXI~TE $I~E OF TANK: <br /> gallons <br /> s~PT~C TANK ~T~RIAL: Concrete ; Steel~; Othe~ <br /> <br /> TANK IN G~D CONDITION? ............. Yes No <br /> <br /> INLET & OUTLET FITTINGS IN PLACE~., ~es ~; No <br /> DISPOSAL PIELD BACKING INTO T~K? . .. Yes ; <br /> <br /> If "Yes", explain: <br /> <br />DIAG~I OF HOUSE A~D~..e~'~""~..~ '~,.N.,.' ,v- (~,~w detail wzth' <br /> <br />MARION COUNTY <br />BUILDING IN ?EGTIOt <br /> <br />DATE OF P'UHPING ...... <br /> <br />MC1S-Sl~ <br /> <br /> <br />