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In Order to pro[;erly evaluate your e×4~ting _qek'a§e sy:3t:~Hn, the <br />information w~ll be n .ce.~. <br /> <br />I. If yo~r sewage system is loss than five (five) y.]ars old, ,'~nd u,a h;!vc <br /> a~ approved record of the system, 'we cnn p~'oc,:ed ~ithou% any further <br /> action on your part. <br /> <br />If your sewage system is less than five (5) years old, and we do not <br />have a record of an approved installation,of the system:* <br /> or; <br />If your sewage system is more than five (5) years old or }]as not been <br />pumper within the last five years: <br /> <br />You must have the septic tank pumi:ed, <br />Have the septic tank ptn.:per cor:,plete the £oz'm below, <br />A field visit ~'ill be required by the f~nitaraiGn to verify tI:e <br />locate, on asd condition of the septic system. <br />If you have proof that your septic tank ]]as been pumped within the <br />last five (5) year~, sections a & b ~¢ill ~lot be required. <br /> <br /> For Septic Tank Pu.'.'~per Use Only <br /> <br />c'O~,IPA,~{¥ N:~,E: Stayton, Mill City & Silverton Septic Svc~:Q LICEt~'SE NO: 34916 <br /> <br />PtlOPERq'Y <br /> <br />James & Melba D~vidson <br /> <br />AD!)RESS tO{ERE 2'ANK PUbIPt.~D: 255 Santiam Ave. <br /> Detroit, OR <br /> <br />APPi{OXII,~A'I'E SIZE OF SEPR'IC ?ANK: 500 ~jal <br />iS '~'ANK IN GOOD CONDITION? <br /> <br />ARE ISAFFLES OR ELBO%'S IN PLACE? <br /> <br />IS DRAINFIELD BACKING UP INTO TANK? <br /> <br /> NO <br /> NO <br />XX- ....... NO <br /> <br />6,1~-~ S,?ptfC <br /> <br />3~82 il,z'-' 10/87 <br /> <br />DTACRAH OF HOUSE AND <br />I,OCAT JA.),q OF "i./., ~ K." · <br /> <br /> If yes, explain; ..................................................... <br /> <br />L;kiPTIC TANK biA'i'}-;RZAL: Conci-ete Steel X~ Other- <br /> Septic tank is partially under"~5151-I~c~e, hoW~ger;-'T2r~z~ is go0d'-aec~ss-To <br /> <br /> pump it and a ~w lid bolted down over the access hole. <br /> <br /> <br />