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Permit - 1302200
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Permit - 1302200
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Last modified
7/8/2011 11:37:53 AM
Creation date
9/4/2003 3:41:15 PM
Metadata
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Permits
Permit Address
10567 STAYTON RD SE
Permit City
Aumsville
Parcel Number
091W17BC00900
Permit Type
Permit
Permit Site Number
9569
Permit Doc Type
Permit Document
Status
Ready to Film
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In orde~ to properly evaluate your existing sewage system, the foll¢..,ing <br />'-{nfor~ation ~ill be necessary: <br /> <br /> 1. If your ~e~'a~e system is less tha~ five (five) years old, and ~ have <br /> action on ~OUr part. <br /> <br /> If your sewage ~ystcm ~ more than f~ve (5) years old or has [lOt been <br /> pumper withi~ the last five years: <br /> <br /> b. l{ave the septic tank pumper complete the form below. <br /> A field visit will be required by the sanitarai,~n to verify <br /> location an~ conditioa of the septic System. <br /> d. <br /> <br /> tl~o <br /> <br />Zf you have proof that your s~ptic tank has been i)umped within tko <br />last five (5) yearSt sections a & b will not be required. <br /> <br />APPROXII,:ATE SIZE OF sEPTIC TANK; 500___ __gallons <br />IS TANK 1N GOOD CONDITION? .... X <br />AJ,~E I~AFFI,E$ OR EI, I~OWS IN ~LACE? X <br /> <br />YES, NO <br /> <br />YES; NO <br /> <br />I$ DRAII~FIELD BACKING U~ INTO TANK? ........ YES; ._=v. NO <br /> <br /> If yes, explain; Lid is__weak <br /> <br />,, }',Tllc TANK MATERIAL: Concrete Steel X- ...... Other <br /> <br />D'fAC, RA!4 OF HOUSE AND <br /> <br /> ,we I 1 <br /> <br />...... <br /> <br /> <br />
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