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Permit - 1304756
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Permit - 1304756
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Entry Properties
Last modified
4/14/2011 10:19:45 AM
Creation date
9/4/2003 4:42:25 PM
Metadata
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Template:
Permits
Permit Address
12033 EHLEN RD NE
Permit City
Aurora
Permit Number
94-03497
Parcel Number
041W09 00800
Permit Type
Permit
Permit Doc Type
Permit Document
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The following <br />s~wage system. <br /> <br /> 1. <br /> <br />ON-SI~E ~WAGE SYSTEM <br /> <br />requirements apply to the evaZuation of an existing on-site <br />~lease select the appropriate section and follow the directions <br /> <br />If your sewage system is less than five (5) years old and a <br />Certif&oate of ~atiefactory Completion has been issued for <br />eystem, the septic tank does not require pump£ng at this time. A <br />field inspection will be made of the entire system and a report <br />will be issued. <br /> <br /> I~pti¢ tank has not been pumped w~thin the last five (5) years, <br /> )~llOw ~he d£~eotions below. If you have proof that the s~ptlc <br /> ~k has been ~umped within the last five (5) yeare, ~ection~ (a) <br /> <br /> a. The septic tank must be ~u~ped by a D.E.Q. licensed septic <br /> MARION ~OUNTY tank penner, <br />b. The se~%c tank.pumper must complete the form below. <br />BUILDING INSPECTION ¢, ~ field ~spect~o~ will be required by cur o~-aite, staff to <br /> verify the location and condition of the septic ~ystem. <br /> <br />*for s~ptic pump~ use only* -- (please pr~? }~__~ <br /> <br />APPROXIMATE SIZ~ OF TAN~ ~/~ gallons <br /> <br />$~P~C TANK MATERIAL= Con~ete~/~, Steel <br />IS TANK IN GOOD CONDITION? ............. Yes$' ; No <br /> <br />ARE INLET & OUTLET F~TTINGS IN PLACE~ .. Yes <br /> <br />IS DISPOSAL FIELD BACKING INTO TANK? ... <br /> <br /> I~ 'Yes", explain: <br /> <br />DIAGRA24 OF HOUSE AND S~PTIC TANK: <br /> <br />NO ,:,, ,.,,' <br /> <br />(show detail with measurements) <br /> <br /> <br />
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