Decommissioning of a septic apparatus

Health : The form is to be filled out by the contractor/person who carried out the works and must indicate the number of septic tanks and soak wells and/or leach drains that were removed. The form is to be returned to the City with a copy of the liquid waste receipt supplied by the liquid waste contractor as evidence of the pumping out of the system.

  • Your Details

  • Septic System Details

  • DD slash MM slash YYYY
  • The septic tanks or aerobic treatment units, had the base of the tank broken and/or was :

  • Please enter a number less than or equal to 999.
  • and the soak wells were :

  • Please enter a number less than or equal to 999.
  • and the leach drains were :

  • Please enter a number less than or equal to 999.
  • and the resultant voids backfilled with clean sand and compacted.

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