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AUTHORIZATION NOTICE/EXISTING SYSTEM EVALUATION <br /> <br />or; <br /> <br />If your sewage system is more than five (5) year~ O1~ or has not <br />been pumped within the last five years: <br /> <br />a. You must have the septic tank pumped. <br />b. Have the septic tank pumper complete the form below. <br /> A field visit will be r~quirad by the Sanitarian to varify <br /> the location and condition of the septic system. <br /> <br />For Septic Tank Purr U~e Only <br /> <br />IS TANK IN GOOD CONDfTION? <br /> <br />A~E BAFFLES OR ELBOWS IN PLACE? <br /> <br />IS DRAINFIELD BACKING U~ INTO TANK? <br /> <br /> If yes, exp~aln; <br /> <br />S~PTIC TANK MATERIAL: <br /> <br />gallons <br /> NO <br /> NO <br /> <br />DIAGRAM OF EOU$[ AND <br />LOCATION OF TANK: <br /> <br />example: <br /> <br />Rev 7/89 pb <br /> <br />MA~W <br /> <br /> <br />