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Marion Count. y <br /> <br /> OREG 0 <br /> <br />T~ following <br />sewage <br />carefully- <br /> <br /> 1, <br /> <br /> ON~SIT~ ZEWAG~ SysTEM <br /> <br />requirements apply tO th~ evaluation of an existing on-site <br />Please select the appropriate section and follow the directions <br /> <br />If your sewag% system is less ~han five (5} years old a~%d a <br />ce~tifica~ of Satisfactory ~ompl~tion has been i~ued for the <br />system, the septic tank does not require pumping at this time. A <br />field inspection will be made of the entire system and a report <br />will be issued. <br /> <br />If your sewage syetem is more than five (5) years old and the <br />eeptlc tank has not bee~ pumped within the last five (5) year~, <br />follow the directions below. If you have proof that the septic <br />ta~k has Deen ~umped within the last five ($) years, s~ctions (a} <br />and (b) wil'l ~Ot be required. <br /> The Septic ta~k mu~t be pumped by a D.E.Q, l~ee~sed septic <br /> tan~ pum~r. <br />b, The,septiC tank pumper must complete th~ form below. <br />c. A f~eld inspection will be required by our on-site staff to <br /> v~ify the location and condition of the septic system. <br /> <br />PROPERTY <br /> <br />*for septic pumper ~Se only* <br />(please print) <br /> <br />PROPERTY ADDRESS= <br /> <br />MC15-$19 <br /> <br /> APPROX~TE SIZE OF TANK:~'~' ~, <br /> $~PTIC T~K ~TERI~= concrete ~; Steel <br /> IS T~K IN G~D CONDITION? ............. <br /> <br /> If "No', e~plain= <br /> <br />A~ INLET & OUTLET FITTINGS IN P~CE? <br /> <br />IS DISPO$~ ~ELD SACKING INT0 T~K? ..- <br /> <br /> ~f "Yes", <br /> <br />D'IAGRA~ OF HOUSE ~D $~PTIC <br /> <br />,gallons <br />Other~ <br /> <br />No <br /> <br />(show detail with measurements) <br /> <br />Senator Building, 2nd Floo, <br /> <br />(503) <br /> <br />DATE OF PUMPING <br /> <br /> <br />