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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system i, nstaller) <br />~IT~ ~,~,~ss:.53~/8 /DV'"~"~ Or- $~- , <br />AS-BUILT' p~ OF CONSTRUCTED SYST~: <br /> <br /> L <br /> <br /> , ,' <br /> ~ / / I <br /> / / <br /> <br />(show all details and dimensions necessary ~o locate all components of the system in the future) <br /> <br />~Distribut~on; [ ] Drop l~Concre~e~ [ ] Plastic <br /> Size:~_; ~.~.~ ~eader:~ ~erf:~ <br /> <br /> Mxnl~m: I~j' , ~imum: I~ , ~rtain Drain ~pth, <br /> <br /> (for Marion County use only) <br />The above septic system has been inspected by Marion County. The information has been determined <br />to be accurate and the system <br />[ ] Approved <br />[ ] Approved with corrections: see inspection repor= <br />[ ] Denied <br /> <br /> Title: Date: <br /> <br />MC-15-S41 {ITE:M County; YELLOW:Owner; PINK:Instal <br /> <br /> <br />