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. SiLo #~ <br />~JMarton County ON-SZTE S~A~ s~s*~4 <br /> O~[GON SEPTIC T~K P~P~N~ ~D I~SP~e~IOR FO~ <br /> <br /> The following re~irement~ apply to the evaluation of an ex/acin9 on-nile <br /> sewage system. Please select the appropriate section and follow the direction~ <br /> carefully. <br /> <br />If your sewage system is less than five (5) years old and a <br />Certificate of Satisfactory completion has been issued for the <br />syatem, the septic tank does act require pumping al this time. A <br />field inspection will be made of the entire system and a reporL <br />will be issued. <br /> <br />If your sewage system ia more than five (5) year. old and the <br />septic tank has not been pumped within the last five (5) year., <br />follow the directions below. If you have proof that the septic <br />tank has been pumped within the last five (5) years, sec~lonm (a) <br />and (b) will not be required. <br />a. The septic tank must be pumped by a D.E.Q. licenaed septic <br /> tank pumper. <br />b. The septic tank pumper must complete the form below. <br />c. A field inspection will be required by our on-flits staff to <br /> verify the location and condition of the septic system. <br /> <br />*for septic pumper use only* <br />(please print) <br /> <br />~~%PPROXIMATE SIZE OF TANK2 r/~ gallons <br /> <br />~SEPTIC TANK MATgRIAL~ Concrete ~; Steel ; Other__ <br /> <br />IS TANK IN GOOD CONDITION? ............. Yes Z~-~'; No__ <br /> <br /> If "No", explain~ <br /> <br />AR~ INLET & OUTLET FITTINGS IN PLACE? .. Yes ~'~; <br /> <br /> DISPOSAL FIELD BACKING..INTO TANK? ... Ye~ ; No~-~-~ <br />DIAG~M OF ~OUSE AND SEPTIO TANK~ (ehow d~tail w~gh mea~u~emeut~) . <br /> <br /> <br />