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AS-BUILT PLA/~ OP CONSTRUCTED SYSTE~: <br /> <br /> ' '1~>>" ~ ':'~ ~'~'~ ~ ~L ~:~ ............. · t <br /> ~'~ ~ ~/--x ,' ' ~ ....... ~ [ <br /> ~ . ~ ~ '". ...... ~ , ~ ~ , <br /> ~ ~ ~ ~-,.. , <br /> _?~ , (--~, ~ ........ ....... ~ ~ . .~ ~ , <br /> '..~ , ~ ,.::~ ~,,~--~ "-.:'... ~ ' I <br /> , ~ -,~ ~ , ~ - / , <br /> ~ ~ ..... ~t~.. .. ,~.~.~ ~:4,~>~. ..,~:"~: ,~ ~...~ <br /> d al, l; and d:~ensions loca~e of the ~ste~ in the uture) <br /> <br />~RI~g LIST FOR SYST~ INST~LERS ~ERTIFTCATION <br /> I HEREBY CERTIFY T~T THE ON-SITE SEWAGE <br />Septic Tank: Size: /~)~ ~ SYSTEM INST~LED AT T~E ~OVE ~DRE$S WAS CON- <br />Material: C~ o~C~ <br /> STRUCT~D IN ACCORD~CE WITM THE REQUIREMENTS OF <br />Manu~acturer:~ ~6mo~F~ T~E ~E~IT ~D T~E RULES OF T~ E~RO~ENTAL <br />~fTu~mt S~Wsr: Size:, ~M QUaY CO~ISSION. <br />Material:. _~-~ (~ % have tested the sap%lc =~k an~ certify <br />Eea~er Pipe: Size: ~ ~6.~ Signed:_~~ <br />Material: P~ <br />Di,,~ibu~ion ~i~e:Size:Mat~rial: ~JC Company~: <br />Drain Media: Depth: [?.~/ Date: <br /> <br /> (for Marion County use only) <br /> <br />The above septic system has been inspected by Marion County. The information has been determined <br />to be accurate and the system <br /> <br /> [~] Approved <br /> Approved with corrections: see inspection report <br /> <br />...... sig~e~,~ ,&~ ~"~-'~'~'~'~-' <br />as-built,f~m 3/95 <br /> <br /> <br />