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Th~ following ~e~emen~ a~p~y to <br />, sewage ~y~tem. ~leaee ~el~t ~he a~gfopria~e section and ~ollow th~ directions <br /> <br /> o~ Satisfactory C~pl~tion ha~ ~en issued fo= th~ system, the septic <br /> ~ank doe~ no~ ~ire pu~lng at <br /> ~. Authoriza~ion Notices ~o not re~ir~ a ~ield iDs~ction of the <br /> <br /> b. Existing System ~val~a~Ons ~ r~ire a field ins~ction Qf the <br /> %ntire system and a re~rt will be issued. <br /> <br /> tank has not been ~mped within %he last five (S) years, follow the <br /> directions below. If you have pr~f =hat the septic tank has been pumped <br /> within the last five (5) years, section (a) will not be re. ired, <br /> The meptic tank must be pum~d by a D.~.Q. lic~n~ septic tank <br /> <br /> b. The ~ep~ic tank p~m~r m~ complete the form below, <br /> <br /> f]~]~ ,~nS~=utl~:--~o '~-"~h~ocatl'o~ and condition of the <br /> ~ept ic ~yst~m. <br /> <br /> *for ~%~tioopu~r us~ only* <br /> $%ayton, Mill ul~y ~ <br /> COMPLY N~: Senti9 Services ..... %D.Z,Q. LICENSE ~: 34916 <br /> <br /> PROPERTY o~ZR: D~ m ~.r <br /> <br /> A~msvilAe~ Orego~ 97325 <br /> <br /> APPROXI~TE SIZE OF TANK:~ ~000 <br /> <br /> sEPTZO TANK ~TERIAL: Co~crete~; Steel_ ; Other . _ <br /> <br /> INLET <br /> & <br /> OUTLET <br /> ~N <br /> <br /> IS 0ISPOSAL FIELD BACKING INTO TANK? ... <br /> <br /> ' <br /> <br />220 H;~h St, N( · S~]em, OR 97301-)670 <br /> <br />DAT~ OF PUMPING <br /> <br />~CI S-SI 9 <br /> <br /> <br />