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2. If your sewage system is less than five {$) years old, and we do <br /> <br />(~) years o1~ or has not <br /> <br /> You must have the septic tank pumped. <br /> Eave the septic ta~k pumper complete the form below. <br /> A field visit will be required by the Sanitarian to verify <br /> the location and conditioa of the septic system. <br /> d. If you have proof that yoo~ Septic tank has been pumped <br /> within tke last five (f) years, sections a & ~ will not be <br /> required. <br /> <br /> . Mill (Xty & Sil~ccn Septic Sarvioa6 34916 <br /> <br />?~OPERTY OWNER: Marvin Klein <br /> <br />AQ~RESS ~ER~ TANK PU}IPED: 9823 Mill Creek Rd. SE <br /> Aumsville, C~ <br /> <br />APF~OXIP~TE SIZE OF SEPTIC 'lANK: 1200 <br /> ................. qallons <br /> <br /> If yes, .explain; ....... ~ <br /> <br />DIAGRAM OF HOUSE AND <br />L(~ATION OF TANK: <br /> <br />example: <br /> <br /> ] Sei/clc <br /> <br />..... <br /> <br />Soy 7/89 pb <br /> <br />$ <br /> <br /> <br />