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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> ¢ (t~e completed by system installer) <br /> <br /> Drl~n[iIld P~pel Size:~ (I ; Material: ~eader: ; Perf: The sysgem was installed by: <br /> ~ ~censed <br /> <br /> · r==~ D.~, Minimum: /~ ; Maximum: Ig ; Curtain Drai~ Depth: <br /> Pump Cycle Time: 5 ~ . ; Gallons per ~cle: q0 (please print~'~. '~'/ <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 is: <br />[~ Approve~ <br />[ ] Approve~ w~ corr~ti~: se~in~on report <br />as-built.frm 4/95 WHITE:Marion County; YELLOW:Owner; PINK:Installer <br />MC-15-S41 <br /> <br /> <br />