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In order <br />following <br /> <br />AUTHORIZATION NOTICE/EXISTING SYSTEM EVALUAT~O,N, .. ~ o ~: l~?}~8 <br /> <br /> PUMPER FORM <br /> 1'4ARION COUNty <br /> <br /> information will be necessary: <br /> <br /> If your sewage system is less than five (5) years old, <br /> and we have a record of the system, we can proceed <br /> without any further action on your Dart. <br /> <br /> 2. If your sewage system is more than five (5) years old <br /> and/or we do not have a record of the system: <br /> <br /> a. It will be necessary to have the septic tank <br /> pumped <br /> b. Have a DBQ licensed septic tank pumper complete <br /> the form below <br /> c. A field visit will be required by the Sanitarian <br /> to verify the location and condition of the septic <br /> system <br /> d. If you have proof tha= your septic tank has been <br /> pumped within the last five (5) years, sections a <br /> and b above will not be required. Provide <br /> verification of pumping (receipt from pumper) to <br /> this office. <br /> <br />............... .............../' <br /> L O NSB NO. 35. O //% <br /> <br />Ai~PROXIMATE SIZE OF SEPTIC TANK= <br />IS TANK IN GOOD CONDITION? ~ <br /> OR ~LBOW$ IN PLACB? ~ <br />ARB <br /> BAFFLES <br /> <br />DLAGKAM OF HOUSE AND <br />LOCATION OF TANK: <br /> <br />EXAMPLE: <br /> <br />N <br /> <br />GALLONS <br /> <br />NO: <br /> <br />NO: <br /> <br /> <br />