A septic tank pumper's report, as hereinafter set forth, is hereby required to be filed with the Inspector of Buildings, within five days after pumping, by any person pumping sludge from any septic tank located within the Village. The report shall be as follows:
SEPTIC TANK PUMPER'S REPORT
Within five (5) days after completion of pumping of any septic tank in the Village of Walton Hills, Ohio, this report must be filed with the Building Inspector of the Village, 7595 Walton Road, Walton Hills, Ohio 44146. Failure to file as required will subject Pumper to a penalty as set forth in Section 1044.99 of the Codified Ordinances of Walton Hills.
Location of septic tank by street address:
Name of owner:
Date of pumping:
Size of septic tank: gallons.
Is tank metal or concrete:
Depth of sludge in tank:
When was tank last pumped approximate date.
Has clean-out riser to not more than eight (8) inches beneath sod been installed:
Tank disconnected
Tank head caved in
Describe location and condition of place of final discharge of effluent:
To what point was sludge transported after pumping for disposal:
What is your Cuyahoga County Health Board pumping permit year:
On plot plan show location of septic tank, filter bed and final discharge point of effluent in feet with relation to main building:
ADDITIONAL INFORMATION
Name of pumper Signature of maker of this report
Address Date
(Ord. 1984-28. Passed 7-3-84.)