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_ MARION COUNTY~obizeHEALTH~.~. DEPT. -Sanitation Spec,f,cahons . ~
<br /> ......................................................... ~ ~ -u,~, ,o~,~ ~- ~"~-~-~~_.~ ~:--._~. ---___.-r~-~ N~h~ .......... .J........L .......................
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<br /> RECORD OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM
<br />,NSTALL~'R'8 NAME .~...~/~.~5~,.,~,,,. Address ......... ,.~,,.~-~,.~ .......... ,,~-%..~,-.~...-..~..~,..~,......~..~.. hone No, ............................ "~'~'~'4a~' '~ ~'
<br />To~I vmmhor; Living unit~ ................. ,~. .................................... ~ed~'~omo ........... ,,,~.. ........................................
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<br />Tile divpost~l lleld:
<br /> Length oi each line ....~...~..,,~, .............................................
<br /> T~tal length of all lines ........ ..~,,,.~,,...,~,, .........
<br /> Width of trench ............... ~, ...................................... ft.
<br /> Distance between llne~ ............... ~ ........................... it,
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<br />CLF. AN NO, 2 ROCK:
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<br /> Depth under tile ....................................
<br /> Depth over tile ............... ~ ............. inches,
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<br /> Depth of tile be]ow ori~rinol ground surface ...............
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<br /> Sketch of tn~tcll~tion (show location of rr.~d, house ~rnd septic system)
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<br />Distance from:
<br />Well ........................................ ft.
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<br /> Necrrest:
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<br /> Lot line: Front F~ $1de,,~J~ Reef
<br /> Foundation ........................................ it.
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<br /> Note: Indi t N
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<br /> ~OR ~ D~T. ~)
<br />System ap~arenily will ~ will not ~ function s~tisfaetorily, ~nd is therefore approved ~ Disapprove~ ~
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<br />Da o
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<br /> (3) P~k -- ~t~ ~ ~J ~Au~r~::~,~,.~,,~,,.~,,, ....................................... ~ ;
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