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MARION COUNTY HEALTH' DEPT..Sanitation Specifications <br /> Number <br /> <br />Permit Issued To:~Mil_tO~t ..~orey <br /> <br />__Property Address_Rt- l~t.~D.Z~ ~.]m~v;~]~.e <br /> o,,s. //¢7s' <br /> ~ Width ef Jren:h ........ sq, ft~,__ <br /> <br />Septic tank: Minimum liquid capacity with distribution box <br /> <br />$¢bsurfoce Disposal Field required /.~) lin. ft <br />tot survey <br /> <br />Record Of Individual Sewage Disposal System <br /> <br />'[o Be Completed by Installer <br /> <br />INSTALLERS NAME ~'¢-~ ~ ~ F/ <br />To~ol number~ Uvlng unlts._ <br />Water supply: Public system <br />Septic tank: Distance from well. <br />;olo[ ~iquid capocity . ~ ~ <br /> Diameter <br />THe disposal field; Di~tributlon box? <br />Length of each line ~'q...~ <br />Toto~ length of a~ lines ~..~ t <br />Width of trench ~ O~'~ <br />Tolol square footage ~* ~ <br />Dislance between hnes ~ <br /> <br />.. 8~-0 s Phone No, <br /> <br /> .individual well /.:.~'~' __ <br /> __ __.reel. Material. <br /> gal, Inside bngth_.__ <br />__ fl, Liquid depth__., <br /> Yes ~ No J~ Other <br /> <br /> __fl. Distance from: <br /> __ ff. Well <br /> fl, Nearest <br /> <br />Type of filter materiah Gravel: <br />Depth of fiber mCerlaJ over file <br /> <br />Baths .... Basement: Yes I~ No <br /> Community system__,, <br /> No. of comparfments~ <br /> fl. inside widfll <br /> <br />ft, <br /> <br />__ -ft. Lot lin~: FrontJ~ Side~] Rear [] ft ..... <br /> Foundation .... ft. <br /> Other Depth beneath tile ..Linches. <br /> inches. Depth of tile be/ow original ground surface <br /> <br />Sketch of inst,~llc~tion. <br /> <br /> Note; indicate Northerly direction. <br /> Inspection will not be made until completed forrn is returned to the Heohh. DepL <br /> <br />DATE_ <br /> <br />Sy,tem apparently wit~will:, mol ~ function sa,i,factorily, and is therefore approv.ed~ Disapproved ~ <br />Remarks ~ <br /> <br /> HEALTH <br /> <br /> JUL 3- ~972 <br /> <br />FP I HHA <br /> <br />Copies: I1) Orig. HD Files <br /> <br /> <br />