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AUTHORZZATION NOTIC~/EXIST%NG SYSTEM EVALUATION <br /> <br />PUMPER EORM <br />~n ~rde~ to properly ~valuate ~eur e~isting Sewage System, the f911~wing <br /> <br />If your Sewage system is more than five (5) years eld oF ha~ not <br /> <br /> a. You mus: have the septic tank pumped. <br /> M~ve ehe septic t~nk pumper ~ple%e %be ~orm below· <br /> <br /> ~he lo¢~tien and ~ondi~ion of the septi~ ~ystem. <br /> d. If y~u have proof that your septic tank has been pumped <br /> withxn ~he las~ five (5} ~ears, Sections a & b Will ~ot be <br /> <br />~DR~SS ~RRE TANK P~MPED: · ,~F .~ <br /> / <br /> <br />AP~ROX/~%TE ~iZE OF SEPTIC TAN~: <br /> <br />IS OKAINFIELD BACKING ~ INTO TANK? <br /> <br />¥E$: _______.NO <br />.... YES; ,,~/ NO <br /> <br />DIAGR~4OF ~OUBE A~D <br />LO~ATION OF TANK: <br /> <br />E <br /> <br />Rev 7/89 pb <br /> <br /> <br />