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INDIVIDUAL <br /> (to be, completed by system installer) <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br />scale: 1 · = <br /> <br /> I . <br /> ! <br /> <br /> ! <br /> -. <br /> <br /> 1 <br /> <br /> ! <br /> <br />ON-SITE SEWAGE SYSTEM RECORD <br /> <br />North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />~Drop / ~Concrete; [ ~ Plastic <br /> ; M&tmri&l: Header: ; Perf: <br /> <br />Total Dr&£n£iela Foota~:/[-~ ; Rock DeDth: Total:__; Under pipe: <br /> <br />Tr~h Depth~ Minimum: ; ~aximum: ; Curtain Drain Depth:__ <br /> <br />Zf£1uent Pu~l Pump Model: ; Static Head in System: <br /> <br /> Pump Cycle Time: ; Gallons per Cycle:__ <br /> <br />ft. <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 />[ ] Approved <br />[ ] Approved with corrections: see inspection report <br />[ ] Denied <br /> <br /> Signed: <br />as-built.frm 4/95 <br />MC-15-S41 <br /> <br />Title: Date: <br /> WHITE:Marion County; YELLOW:Owner; PINK:Installer <br /> <br /> <br />