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-;ff~lMa?ior~ Countu o~-s~ s~ <br /> <br /> sewage system. Please select the appropriate sect:on a:,d <br /> <br /> 1. I ~ your sewage eye%em ~s less ~nan five <br /> <br /> system, ~he septic %ank ~oes ~ot re~ire pumping at <br /> field inspection will be made oi the entire system <br /> w~ll be issued. <br /> <br />If your sewage system is mo£e than rive (5I years old and the <br />septic tank has not been pumped within the last five i5) 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,~. licensed septic <br /> tank pumper. <br /> <br /> *for septic pumper use only* <br /> (please prin~) ,. ~ <br /> <br />PROPERTY OWNER: ~ ~ ~'O~t <br />PROPERTY ~D~SS: ~ ~60~) <br /> <br />SEPTIC T~K ~TERI~: Concrete ~ ] ; Steel ; <br /> <br />iS T~NK IN G~D CONDITION? ............ Yes ~ ; <br /> <br /> _galLons <br />Other <br /> <br /> No <br /> <br /> If "No", explain: <br /> <br />A~E INLET & OUTLET FITTINGS IN PLACE? .. Yes <br />iS DISPOSAL FIELD BACKING INTO TANK? ... Yes <br /> <br />If "Yes", explain: <br /> <br />DiAGR3~4 OF HOUSE kND SEPTIC TANK; (show detail with measurements) <br /> <br />DATE OF ~UMPIN(; <br /> <br />r~::iS-s].9 ($03~ $88-~147 _~.n. alOr.Bu, ildin.g: !n? Floor <br /> <br /> <br />