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Do~e....~ ~X~XC....__ MARION COUNTY It. EAL~,~j.TU nco? -Sanitation SpecificationsN~b~_~.D,SL <br /> <br />Septic tank: Mielmum liquid capacity witl~ distribution box , Gal ~ ':' ~ <br /> <br /> Record Of Individual Sewage Disposal System <br />To Be Completed by Installer <br /> <br /> Bedroom~ ~ Baths / ~osement: Yes ~ No~ / <br />Total number; Living units .... <br />Water supply: Publlc system ~ zlndvdual we ~ Commun y system <br />Sephc took: D,stance fr~ well ~ feet Mo erial ~- ~ /~' ~ ( ] ~No. of compartmen s / <br />Ta~a~ liquid cap,eib ~ : gal ~nslde ~ength ft, inside wld~h. ~.ft, <br /> <br /> Diameter ft. Liquid depth .ft. <br />Tile disposal field; Distribution b~x? Yes.~] No [] Other <br />Lengh at each hne /,~ ,~ <br />Tool length o oil lines /'<' ~) <br />Width of lrench_ ,~ -'~' <br />Total square footage ~/ '..~ ~ <br />Distance between lines, ~ ~ <br /> <br />d . <br /> <br />Type of filter meterioh Gravel; <br />Depth of filter material over tile <br /> <br />ISke[~h 0f installation. <br /> <br />/ __ __ ft. <br /> <br />ft. Distance from: <br />~,ft. Well tt <br />fl. Nearest <br />__ ,__fl, Lot Pine; FrontalS] .Side[~ <br /> <br />~ear [] ft. <br /> <br /> Foundation ~ ft. ~..- <br /> Other __Depth beneath tile <br />inches, Depth of tile below original grour~d surface ~0 ¢/ inches <br /> <br />Note: Indicate Northerly direction. <br /> Inspection will not be made until completed form is returned to the <br /> <br />Dept. <br /> <br />DATE__ Signature of <br /> <br /> (FOR HEALTH DEPT, <br /> <br />Remarks ~._~ ~ ~/ <br /> <br />Copies' [1) Orig HD Files ' <br /> <br /> <br />