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Dote ?-Ze-?O MARION COUNTY HF. L]r_H EPT. SpecificationS Number__.,c g <br /> '7 o~ <br />Permff Issued To:.Kenn_eth ...~art~.uff 636-5774 __Property Address R%,2, ~x_l~96~K_ ._Aurora ( But%evi; le) <br /> <br />Septic tank: Minimum liquid capacity with distribution box_ /'~-~:¢) ~,--Go s. <br /> <br />Subsurface Disposal Field required ~_ _~(~,'l._Lin, fL__ ,,~4:~ '"' Width of trench <br />Lot survey __ <br />Other requirements; <br /> <br />Issued by: <br /> <br />sq, ft,. <br /> <br /> Record Of Individual Sewage Disposal System <br />To Be Completed by Installer , <br /> <br />Total number: Living units ...... / Bedrooms~_ ,Baths ~ ~Bosement: Yes~ No~ <br /> W~ter supply: Public system .... Individual well ~ _ Community system ~,, <br /> Septic tank: Oiston~e item weJJ /~. feet, Material .... No. of comporlment~_ <br /> ToalliquldcopocJty, /~ ~ gal Inside length ~¢ <br /> Diameter .... ft. Liquid depth ~ t <br /> Tile disposal field: Distr butlon box? Yes ~ No ~ Other_ <br /> Length of each llne~/¢ ~_~ .... ~_ f ,~ ~ <br /> Total length of oil line~. '~'-fr ..... fi' Distance from: <br />Width o~ trench ~ ~ .... ff. Weft_ A~¢~ <br />Tota~ square footage fi, Nearest <br />Distance between hnes ._~ ff. Lot line; Fron~ ~ $1de~ Rear ~ ft. <br /> Found¢ion~ <br />Type of ffher malefiC; Graveh_~O~.;¢ ~ -- _O~her ....... Depth Beneat~ tile ~ ~= .inches, <br />Deptk of filter material over tile L.. inches. Depth of tile bel~ original groutld surfoce/~% 2¢ inches <br /> <br />~ke ich o f in ~fo Ilo t~0 n, .............................. <br /> · <br /> <br /> Note: indicate Northerly direction. <br /> Inspection will._ not b~. mode until compleJed f~rm is~ r~r urn~d t~.. Health. Depf, <br /> <br />System apparently will [~ wJlJ not [] function satisfactorily, and i~ therefore approved ~"'"~'Disepproved [] <br /> <br />Remarks <br /> <br />Dote, , ~' . fL <br />Copies: (t) Orig. HD FiFes <br /> <br /> <br />