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Marion County oN.~s'~,.z~, s~'~,o~ <br /> <br /> Th~ following re~ir~en~s a~ply to ~he evaluation of an existing on-~'i~e <br /> sewage ~y~tem, Please select tho a~ro~riate section and follow ~he direotion~ <br /> carefully. <br /> <br /> 1, If your sewage system i~ lee~ ~han five (5) year~ o1~ and <br /> C~tiflOa~e of Satisfactory C~m~le~ion has b~en i~sued for ~h~ <br /> <br /> field ins~c~ion will be ~ade of the entire system and a fe~rt <br /> will be issued. <br /> <br /> 2. If your sewage system is ~re than ~ive (5) years old and the <br /> septic tank has n~' be~n ~um~d within the las= $1v~ (~) years, <br /> follow the directions ~1~. If you have proof ~ha~ the ~eptic <br /> tank has b~n pum~4 withl~ ~he last five (5) years, sections (a) <br /> and (b) will no= be <br /> a. The septic tank must]be pureed by a D.E.Q. licensed septic <br /> tank p~r. <br /> b. The septic ta~ p~r mus~ oo~plete the form below. <br /> c. A field ins~ction will be re~ire4 by OUr on-si~e staff to <br /> verify the location ~d condition of ~e mep=io <br /> <br /> *fo= septic ~r use 0nly* <br /> (please ~ print ) <br /> <br /> APPROXI~TE SIZE 0F T~K: ~· <br /> S~PTIC T~K ~TERI~ ~ncrete~; ~t;~el Other__ <br /> <br /> I$ T~K IN G~D CONDITIO~ ............. I YO~ ; No <br /> <br /> If "NO", explains_ <br /> <br />A/~ INLET & OUTLET FZTTING$ ~N PLACE? <br />IS DISPOSAL FIELD BACKING INTO TANK? ..~ <br /> <br /> If "Yes", explain=.,. <br /> <br />DIAGR~ OF ~OU$~ AND SEPtiC TANKs (shew <br /> <br /> N <br /> <br />MCl $-$i 9 (503/ 58~-5147 ..... - <br />R.J~V 10-9~ <br /> <br />'detail eith measurements) <br /> <br /> BUILD~N~ INSPECTION <br /> <br />DATE 'OF P¢SPING' <br /> <br /> <br />