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RE <br /> <br />~.~ D MARION COUNTY HI=ALIti-~',..:.~atlon a~cm~,,U.~N~ ~ ./ <br />O0~e~0~5~7~ ~Obile hom~ ........ <br /> <br />~erm~t 10~e~ To~.. O~Nea~ Nelson 364-30~ ~ Pr~edy A~re~ . , A~ ~ <br /> GaI~. <br /> <br />Septic tonk~ M~n)mum ))quid capoclty with distribullon <br /> <br />.W~dth of trench. ,sq, ft~ .... <br /> <br /> -- ~l~e~ ..... <br /> <br /> Record Of Individual Sewage Disposal System <br />To 8e Com,,pleted by Installer <br />To,al number~ Living units ~.Bedrooms_ ,~ Bath*~Base~enl: Ye~ JJ No~ <br /> Cad.unity ~ystem <br /> <br /> Water ~:Upply~ Public system IndlviduaJ well <br /> ,Se~tl¢ tonk~ Distance ~:rom we /.~,~lt ~1 .... feet, ~terial <br /> To)al Hquld capacHy_ ~'gaJ. I~;de length .... <br /> Diameter ft Liquid depth~ <br /> THe disposal ~)eld: Distribution b~? Ye~ ~ No ~ Other <br /> LongtR ~ each line <br /> Toto~ Imngth o~ all lines .... ~ ft Distance f~om: <br />Widlb of trench. I-~v' . fl Well <br /> To~ol ~uaee ~OOt~ge (~'~ ft. Nearest <br />Distance between lines_ ~ '~ ~ ft <br /> <br />Depth of fiJf~r mo/ertl over tile <br /> <br /> , No. of compartments. <br /> ~ns~de width__ <br />,ft. <br /> <br />ff. <br /> <br />Lot lin.~ Front ]~ Side I-I Rear [] <br />Foundation. <br /> Deplh beneath tile., <br /> <br />HEALTH <br /> <br />OCT 1 8 1972 <br /> <br /> ~inche~.. <br />file below origino~ ground surface /.~ inches <br /> <br />Indicate North~dy dJrection. <br /> <br />5y~te,n apparently will ~,J will not [] <br /> <br />Remarks <br /> <br /> ,Signature atIn,taller. ~,~_ ~.., , <br />~FOR I,t,,'~ALTH DEPT'. US;Et v <br /> <br />function Iloflsfactoril¥, and Is therefore approved ~, Disapproved [] <br /> <br /> <br />