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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

Name(Required)
Company Name (where applicable)
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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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