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INDIVIDUAL ON-SITE SEWAGEs. SYSTEM RECORD <br /> (to be Completed by system installer) <br /> <br />~LAN OF CONSTRUCTED SYSTEM= <br /> <br />(show all details and dimensions neceSSary to locate all components of =he system in the future) <br /> <br /> MA~RIALS LIST FO~ SYSTE~ INSTALLERS C~,TIF~CATZON: <br /> <br /> Manufac~urer=..__~~ <br />Effluen~ S~wer: Size:.~~ <br /> <br /> Ra~erial: <br /> <br />County u~e only) <br /> <br /> }{~R~BY C~RTiFY THAT TH~ ON-SIT~ SBWAGE <br />INSTALLED AT T~E A~OVE ~DRESS WAS CON- <br />STKUCT~ IN ACCO~CE WITR TH~ REQUIR~NTS OF <br /> PE~IT ~ TH~ RULES OF T~ ~IRO~ <br />QU~I~ C~ISSION. <br /> ~ve tested ~ha ~eptic ~a~ and certify <br /> tO ~ watertight. <br /> <br />The above septic system has been inspected by Marion County. The informa:ion has been de~ermined <br /> <br /> <br />