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OR~:OON <br /> <br /> '~'h~ ~oliowing requirements 'apply to the evaluation of &n exisning <br /> ~wag~ system, PleaS~ s~leet'the appropriate section and follow ~he directions <br /> <br /> 1.- If your sewage system is ~eas than ~ive rS) yea~$ old and a 0ertifieate <br /> of Satisfagtory Completion hms been issued for %he sys%e~, the septic <br /> tank does not recfaire pumping &t this time. <br /> Au%hbrisation Notices do..DQt require a field inspection of <br /> <br /> b, EXi~tYng Syst~ ~valua~%ons ~ re, ire a field inspection of <br /> <br /> tank has not been p~d ~ithin the last five (5) y~a~s, follow <br /> directions below. If you have proof tha= ~he ~e~tic tank has ~een pumped <br /> within th~ last fiv~ (5) years, section (a) will no~ be required. <br /> a. The septic tank mus~ be pum~O by a D.E.Q. license~ septic tank <br /> <br /> b, Th~ sep=io tank pumper ~t co~let~ th~ form below. <br /> <br /> fiald ins~caiOn to verify the location and cOndi[lon Of =he <br /> s~ptic system. <br /> <br />AppROXI~T~ SIZ~ OF TANK:~O gallons <br /> <br /> TANK IN ~D CONDITION? ............. Y~s~ ~; <br /> If "No", explain: , ..... <br /> <br /> & OUTLET FITTINGS IN PLACe? ,. <br /> INLET <br /> <br /> DISPOSAL PIELD BA~NG INTO T~K9 ... Yes_ ~; <br /> <br />DIAG~ OF HOUSE AND S~PTI¢ TA~= (show detail with measurements) <br /> <br />I 7 1993 <br /> <br />:O~l~ ~FI.7'~'~l:l :~) High St. N~ * Selern. OR 97301,,,~70 <br /> <br />MARION COUNTY <br />BUILDINB INSPECI[ON <br /> <br />~1 S-SI 9 <br /> <br /> <br />