Laserfiche WebLink
AOT~]ORIZAT~0N NOT~CE/EXISTING SYSTEM EVAJo0ATION <br /> <br />PUMPER FORM <br /> <br />in order to properly evaluate your existing sewage system, the <br />following information will be nccessary: <br /> <br />If your se~sge system is less than five {5} yearn o]d, <br />and we have a record of the system, we can ~rocee~ <br />without any further actior% on your part. <br /> <br />2. If your sewage system ~s more than five (5) years old <br /> and/or we do not have a ~ecord of the Syste~: <br /> <br /> a- It will be necessary to have the septic tan~ <br /> pumped <br /> Have a DEQ licensed septic tank pumper complete <br /> the form below <br /> c. A field visi~ wil] be required by the Sanitarian <br /> to verify the location a~d condition of the septlc <br /> system <br /> d_ If you have proof that your septlc tank has been <br /> pumped within the last f~ve (5) years, sections a <br /> and b above will not De required. Provide <br /> verification of pumping (receipt from pumper) t0 <br /> this office. <br /> <br /> --FOR S~PTIC T~ PURER USE <br /> <br />APPROX~TE SIZE OF SEPTIC TANK: /(~,0' , [~q / <br /> <br />DIAGRAM OF HOUSE <br />LOCATION OF <br /> <br />N <br /> <br />3/82 Reu 10/87 4/B8 <br /> <br />W <br /> <br /> <br />