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sewage system. Please select the appropriate section and follow the directions <br />carefully. <br /> <br /> 1. If your sewage system is less than five (5) years old and a <br /> Certificate of Satisfactory Completion has been issued 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 system is more than five (5) years old and the <br />septic tank has not' be~n pumped within the last five (5) years, <br />follow the directions below. If you have proof that the septic <br />tank has been pumped within the last five (5) years, sections (a) <br />and (b) will not be required. <br />a. The septic tank must be pumped by a D.E.Q. licensed septic <br /> tank pumper. <br />b. The septic tank pumper must complete the form below. <br />c. A field inspection will be required by our on-site staff to <br /> verify the location and condition of the septic system. <br /> <br /> *for septic pumper use only* <br /> (please pFint) <br /> <br />~PROXI~TE SIZE OF T~: /~ gallons <br />SEPTIC T~ ~TERI~: Concrete~; Steel ; Other .. <br /> <br />IS T~ IN ~D CONDITION? ............. Yes~ ; No <br /> <br />RECEIVED <br /> <br /> If "No", explain: <br /> <br />ARE INLET & OUTLET FITTINGS IN PLACE? .. Yes ~ ; No <br />IS DISPOSAL FIELD BACKING INTO TANK? ... Yes ; No~ <br /> <br /> MAR 1 3 f99 <br />MARION COUNTY <br />BUII..DIN6 INSP£CTION <br /> <br />If "Yes", explain: <br /> <br />DIAGRAM OF HOUSE AND SEPTIC TANK: (show detail with measurements) <br /> <br />N <br /> <br />DATE OF PUMPING <br /> <br />'s IGNATU~ 'b~" PUMPER <br /> <br />MC15-S19 (503) 588-5147 <br />REV 10-92 <br /> <br /> <br />