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SE~C ~ ~NG ~D ZNS~EC~ON FO~ <br /> <br />The followln~ r~tr~n~s a~ly ~o th~ evaluation of an exi~in~ O~-si~e <br />sewage system. ~leas~ select the appropriate section and follow th~ direction~ <br />carefully. <br /> <br />1. If your sewag~ ~y~tem is less....~ha~f!~e (5) year~ old and a Certificate <br /> of satisfactory ~ompletion has been issued for ~e sy~tem~ the septic <br /> tank does no~ require pumping a= =~is t~e. <br /> a. Authorization Notices do...no~ =e~i~e a field inspection of the <br /> syst~. A re~r% can be issued ba~e~ on a review Of our <br /> Existing Syst~ Evaluations ~ re~i~e a field inspe~tion Of the <br /> entire system and a r=po=t will ~ <br /> <br />2. ~f y~u~ sewage system is mor~ than fiv~(~% vear~ old and the <br /> tank has not been pu~ped within the las% five (~) y~ars, follow the <br /> directions below. If you have ~roof tha~ the septic tank has been <br /> within the last five (5) yea~s, se=bion (a) will not be <br /> a. The ~ep%i= tank must be pumped by a D.E.Q. linen=ed ~eptic tank <br /> pum~r. <br /> b. The septic tank Dum~r must complete the form below. <br /> <br /> field inspeO~on =o verify the location an~ conditio,~ of <br /> <br /> co~.Y ~a.~s: ..$eRt~c services, <br /> <br /> ~ROPEaTY OWNSE:~Carl &3~ov~ofraa~ .... <br /> <br />PROPERTY ADDR~=__ 9242 ~ti~P., ~ - <br /> ~ille, ~ 97325 <br /> <br />aPPBOXI~AT~ SXZ~ OF TANK~ 500 <br /> <br />IS ~ANK IN ~D CONDITION? ............. <br /> <br />ARE INLET ~ OUTLET FITT~NG~ IN PLACe? .. Ye~ <br />~B DZSPOSAL F~ELD ~ACK~NG ~NTO TANK9 ... <br /> <br />D.E.Q. LICSNSE #:~34916 : <br /> <br /> gallons <br />other,. <br /> <br /> NO_, <br /> <br /> No .... <br /> <br /> No X <br /> <br />HOUSE ~ S.~T.C T~K; (~how detail with measurements) <br /> <br />(503) $88-$147 <br />,^x (503,) 588-7948 <br /> <br />~20 HIgh 5~, NE ·Safcm. OR <br /> <br />9/03/93 <br /> <br />DATE OF PUMPING <br /> <br /> ~C15-$ <br /> REV 1/ <br /> <br /> <br />