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Marion <br /> County sit~ ~ ~ <br /> OREGON ON-SI~E S~AOE EYSTEM <br /> SEPTIC TANK I~UM~ING AND INSPECTION FO~ <br /> <br />The following requirements apply to the evaluation of an existing on-site <br />sewage system. Please select the appropriate section and follow the directions <br />carefully. <br /> <br /> 1. If your sewage system is less than five (5) years old and a Certificate <br /> of Satisfactory Completion has been issued for the system, the septic <br /> tank does not require pumping at this time. <br /> a. Authorization Notices do not require a field inspection of the <br /> system. A report can be issued based on a review of our files. <br /> b. Existing System Evaluations do require a field inspection of the <br /> entire system and a ~eport wi~-I be issued. <br /> <br /> If your sawage system is more than..five ..[5) years old and the septic <br /> tank has not been pumped within the last five (5) years, follow the <br /> directions below. If you have proof that the septic tank has been pumped <br /> within the last five (5) years, section (a) will not be required, <br /> The septic tank must be pumped by a D.E.Q. licensed septic tank <br /> pumper. <br /> b. The septic tank pumper must complete the form below. <br /> c. Authorization Notices and Existing System Evaluations require a <br /> field inspection to verify the location and condition of the <br /> septic system. <br /> <br /> *for septic pumper use on~* <br /> <br /> --?~ /~ ~ <br />APPROXIMATE SIZE OF TANK: //~ 9allons <br /> <br />SEPTIC TANK MATERIAL: Concrete.~ ; Steel .... <br /> <br />IS TANK IN GOOD CONDITION? ............. Yes... ~ ; <br /> If "No", explain: <br /> <br />ARE INLET & OUTLET FITTINGS IN PLACE? .. Yes_ ~ ; <br />IS D~$POSAL FIELD BACKING INTO TANK? ... Yes__; <br /> <br />; Other <br /> <br />NO <br /> <br />NO <br /> <br />If "Yes", explain: <br /> <br />DIAGRAM OF HOUSE AND SEPTIC TANK: <br /> <br />13) 588-5147 seaator g~ilding <br /> <br /> "DEC 2 3 199 <br /> <br />NIARION COUNTY <br />BUILDING INSPECTION <br /> <br />BI~NATUR]~ OF PUMPER <br /> <br />MC15-S] 9 <br /> <br /> <br />