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Date. 8-17-71 <br /> <br />Permit Issued To; <br /> <br />Septic tank: Mln~mum liquid capacity with di~tributlon box <br /> <br />Subsurface Disposal Plaid required Lin. ft <br />Lot survey <br />Other requirements: <br /> <br /> MARION COUNTY HEALTH DE-P'f.-Sanitation SpecificationSr umber <br />-- MOBILE i-I01¥~ .................. <br /> Walt_e.r W. Eatherl¥ 581 849~_Proper y Address ~ Aumsville <br /> <br /> ~'~ f'"" .Width of trench ..... sq. ft.__ <br /> <br />Issued <br /> <br /> Record Of Individual Sewage Disposal System <br />To Be Completed by Installer <br />INSTALLERS NAME ~.._.~/._.~9/~lfy ~,t'V,~'.~Phone No. -.~/~/~ "~'~:-g~'~L~Address i/qoI~,~ X-c. / <br />Total number; Living units'_ J. Bedr°°rns~"' ~a~t~h~- I Basement; yes"~--'- ~-[~'~'~ <br />Water ~upply; Public system .... Individual well ~'~ Community system ............ <br />Septic tank: Distance from well ~a~/-0~. ~t __feet. Materlal~__.~_,~.,~ No. of comportments I <br /> .ft. <br /> <br />Total liquid capacity 7~"0 ' ~___gal. Inside length <br /> Diameter ft. Liqui~ depth <br />Tile disposal field: Distribution box? Yes ~ No [] <br />Length of each line ........ Z.~' ~ ~ , <br />lo~al ~enoth of all lines..~,~, f ft, <br />Width of trench ~ ft. <br />Total square footage,, ~,~ ft. <br />Distance between lines _.~_~ / fl. <br /> <br /> Jr, inside width. <br /> __.ft. <br />Other __ <br /> <br />We U ~,~" /~ .f~. <br />Nearest ~ <br /> / <br />Lot line: Front [] Side [~Rear [] <br /> <br /> ~oundation ~ ft. <br />Type of filter materiah Groveh ~Other Depth beneath tile <br />Depth of filter ma er a over e (~ ~''_. . inches. Depth of gle below original ground surtace <br /> <br />fl, <br /> <br />inches. <br /> ~'~ ~inches <br /> <br />Sketch of inslallotlon. <br /> <br />Note: <br /> <br />System apparently <br />Remarks <br /> <br />bldlcate Northerly direction. <br />Inspection will not be made until completed form i~ returned to the Health. Dept., <br /> <br /> Signet ore of I nstafler /~t,, <br /> (FOR HEALTH DEPT. USE) <br /> <br /> will not [] function *Otisfactorily, and iS therefore approved Disapproved <br /> <br />Copies: (1) Ori9, ND Files <br /> <br /> <br />