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The following <br />sewage system. <br />carefully. <br /> <br />requirements apply to the evaluation of an existing on-site <br />Please select the appropriate section and follow the directions <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 />system, the septic tank does mot require pumping at this time. A <br />field inspection will be made of the entire system and a report <br />will be issued. <br /> <br />if your sewage system is more than five (5) years old and the <br />septic tank has not been pumped within the last five (5) years, <br />follow the directions below. If you have proof that the septic <br />tank has been pumped within the last five (5) years,' sectioes (a) <br />and (b) will not be required. <br />a. The septic tank must be pumped by a D.E.Q. licensed 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-site staff to <br /> verify the location and condition of the septic system. <br /> <br /> *for septic pumper use only* <br /> (please print) <br /> <br />COMPANY NAME: AAA $5F~ SERVICE IN~. D.E,~Q~ LICENSE <br /> O N E,' ' <br /> <br />ggPTIC TANK ~TERI~ Concrete~ Steel__; other <br /> <br />IS TANK IN G~D CONDITION? ......... .... Yes ; No <br /> <br /> If "NO", explain~ <br /> <br />ARE INLET & OUTLET FITTINGE IN PLACE? .. Yes__~'~; ~; No <br /> <br />DIAGRAM OF HOUSE AHD EEPTIC TANK* (show detail with measurements) <br /> <br /> <br />