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AUTHORIZATION NOTicE <br />($upplenmntal Form) <br /> <br />~In order to properly av&luate your exist£ng sewage <br /> <br />I. Ig your savage system Is less than five (££ve) years old, and we have <br /> an approved record of the system, we can proceed w£thout any further <br /> action on your peet. <br /> <br />2. If your sewage system Ks less than ££ve (5) years old, and we do nsc <br /> have a record of an approved £nstallat£on o£ the <br /> or~ <br /> l£ your sewage system ii more than five (5) years old or has not been <br /> pumper v£th£n the last t~ve <br /> <br /> a. You must have the septic tank pumped, <br /> b. Have the eept£c tank pumper complete the form below. <br /> c. A field visit w£1L be required by the Sanitara£an to verity the <br /> locat£on and condLt$on of the septic system, <br /> d. I£ you have proof thac your septic tank has been pumped w£th£n the <br /> lilt t£ve ($) years, lictLonl & & b viii not be requ£red. <br /> <br /> For Sipt£c Tank Pumper Uie Only <br /> <br /> IS D~INFIE~ ~KZNG UP lH~ TANK? ~ES~ <br /> <br />yes, expla£n;~ <br /> <br />SEPTIC TAHK ~4ATERIALz Concrete.~.._._Steel~ther~ <br /> <br />L0CATI0~ 0FTA~: <br /> <br /> ~ sepclc <br /> <br />3/82 Rev 10/87 <br />cst <br /> <br />' ' /~ <br /> <br /> <br />