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MARION COUNTY HEAL~fl' DEPT. -Sanitation Specifications
<br />D~,~ ........ ~::.!.s.~.?.~ ................................................... ~u,~be~ ......... .~-.'.~'~....i~( .................
<br />perm, ~ T~;~es~...~P~t.~ . Pmp~ ~d~ 10695 James Way Ds. SE~ Aumsville
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<br /> RECORD OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM
<br />TO BE COMP~ED ~ T ~
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<br />Total number: Living u;%i~ ........................................................ ~ed~ ...,~ .............................................
<br />W~ter supply; Public sysl~m ~ individual well ~ Community system
<br />Septi~ t~nk: Distance from we~t ,..,,~,..,,.fi, M~teri~l .........................................................................................................
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<br /> Total liquid capc~e!W ,,,~/~,.~ ......... 9sis.
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<br />Le=b o, e.¢, ,,ne ...L.~:..~: ..................... /.~.C..: ............
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<br />Width of ir.nth .................... ~.,,~.,,!.,~ ......................... ft,
<br />Distance between tines .................. ~,,A~,,,~, ................. it.
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<br />CLEAN NO. 2 ROCK;
<br />Depth under tile .............~,,~,/. ............. inches,
<br />Depth ever tile ............. ~.,.!.f ............. inches.
<br /> T)e~th of tile below ori~inol ground surf~co ............... ,/,,,,.~.,,t,,~,,.,,, inches,
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<br />Well ..........
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<br /> Lo~ line: F~at ~ Side []
<br /> Foundation ............ ,~,,,~,, ................. ~t.
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<br />Rear [] ............................
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<br />Sy,tem ~pp~rontly will ~ willnot ~ function s~tisl,,tofily, and i, ,here,,re o~proved~ Disapproved ["~
<br />Rem~rk~ .................................................................................................................................................................................................... ~) ................................................
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