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y, <br />FREMONT COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SEPTIC TANK ABANDONMENT CERTIFICATE <br />A copy of your receipt from a Fremont County Licensed <br />Septic Pumper must be attached to this certificate <br />PROPERTY <br />l l°Lb <br />LEGAL <br />DESCRIPTION <br />PROPERTY _ <br />OWNER(S) ~~ve2G~[ S ~-~i 1 `~~sc_ ~c.~~<~l - <br />The septic tank at this location has been abandoned according to Section XIII., G., of <br />FREMONT COUNTY INDIVIDUAL SEWAGE DISPOSAL REGULATIONS <br />The contents of a septic tank, vault or seepage pit, the use of which has been <br />terminated, shall be properly disposed of, whereupon the emptied tank, vault or <br />pit shall be filled with soil or rock, or the Health Officer may require the tank or <br />vault to be removed and disposed of properly. <br />When the use has been terminated for a septic tank, vault or seepage pit, the <br />emptied tank, vault or pit shall not be used for any other use. <br />Proper disposal of the contents of a septic tank shall mean pumping by a septic pumper licensed <br />in Fremont County. <br />Property Otvfier's Signature ~ ;~ ~ Date <br />3 <br />