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Nt•Ir CO1.07 1BUILDING INSPECTON <br /> iNDWIDlA.Le 2C. ..l5Pi,,, tSEi7..n.AG:SYSTEM RECORD <br /> visi 4 : beel bjallr) <br /> Safem.0R 9735 <br /> M34884147 ltherNa . no <br /> MARION " <br /> CCIUNTY .,: ht101,9.rsww:comarino.O.usfirMIhrikilnenspectiOn siTEADDREss: 1'214 SS VL3111.044 ILI. <br /> . , <br /> 4 <br /> .AS;BUILLAN.Ote CONS.FRUCTED.SYS'rEMi • ,. <br /> ,s•deet:ru..;___ . <br /> .riiiith. <br /> ;-; <br /> 1. • i; <br /> i • <br /> ,1; • . • L <br /> i <br /> . ,. . .• <br /> .k) <br /> 1I• <br /> t <br /> .t. . <br /> . .. <br /> . . <br /> . , <br /> . . <br /> • <br /> . . <br /> • <br /> . 1 <br /> . •• <br /> • <br /> i <br /> R <br /> it. <br /> 6how..a.detkult and dimensions nOcca,iary to locale all components of the systertrin,the future) A <br /> . . <br /> OFIEM MATERIALS AND SPECIFIC:A.110'CA IFSTALLERS,CERTIFICATIOM: <br /> ri <br /> Stitem DedgES6thigollint: .GollanalDalt isMIZEBY:c:ERTIFtTlikT tICEOgarIEStikr4EgYSTEltf If4;. <br /> j. STALLED'ATTHEAROVE ADDRESS WAS CONSTRUCTED IN ACCOR- <br /> A..ptle Tat&sue lost) Faces.MAI f toutttt: Wg...MTIVII Tura", DANCE WITH TEE REQUIREMIDTIS.0FIREliERMITANDTHEADLES: II., <br /> •OFINEENVIROMEENTAL QUALITY COMMISSION; <br /> DOOng rink$4e--.gulch WI Mfr. <br /> .fi I have:testedtheseptie tank and cat*it te.be,wetertight: <br /> NIT Makeseidllodel ki- <br /> . Boz(45): •. <br /> 14„Dil4110°",,__ . The.ristem.Iona,instagecttir .M <br /> Etrlitent.Sesnat:SireartMl . I.1' .,,.Lnuf! . :t 1.PmixttY Ovinizt(focrinitt.te) :fig <br /> niIt - .1ALicensed ScwageDispoOttScryiee, . 0 <br /> DrihrtieldPipft,Sizer, t,-. ii; . <br /> Mareriak HerderTi , Perfacitecrlipe:.....NN .DEQ License thinabetz, .3ti.41 ... ? <br /> . .TOLIDrsinfteid .__ . !Death Depth,Miiiiman Motimum___ ..pEtz Cioifii:atioTt2 Number; 1:-.CE 77 fl Z. . it <br /> . . t <br /> Rock DepOn Tied • Unclerfsfic._ Curia*,Dr**Depth <br /> Signedie--.---h----1:(7""----.---- <br /> Alternative 1:OrduneklIrhaterridr .)14 . <br /> .13311mult.Purnpr Pranp roto company name% -, <br /> delf.#14 .---j Preo Crerd4bn GWI/C$4 <br /> • : . , ,,...., <br /> PiutpCygie minutes <br /> (please-priet)t <br /> rine ce. off Cagan perCycia <br /> I <br /> • addIfional rhea foressupeutestr and naterhdramt listed them. i <br /> Mar l'ilarfeirCotinty:Use Only): - <br /> • . <br /> The.aboye septic:4),nm has been inspected by Manna counti.*Thn infnonstion Wheat determined:to,he accurate and the system.is: <br /> pApproved pproTtd.With corectioitz-seen report t I Denied <br /> Signe& — _ -,,--,____ _:ritle: tiert (0f-- D. iqffr-i . r <br /> liCs-41 icy:343;4112.4114 WHITE:Marion.ColinlY;YELLOW:Oozier:PINICth=que; <br /> • <br />