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INDIVIDUAL O $ ITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br /> 1" <br /> , i / <br /> <br /> (show all details and dimensions necessary o locate all components O~he system in the future) <br /> <br />B~(eS): [ ] Distribution; [~rop / [ rate; [ ] Plastic <br />Drm~nf~eld P~p,: Size: ~// ; ~terial: Header: ~--~ ;~ ~e~-f:~O ~e system was installed <br />Total Drain,iel~ Foota~e:~; Rock Dep~: Total: [Z~; Under pipe: ~ <br />T~ch ~, Mi~i~: ~/' ; Maxi~u~:~'/ ; ~rtai~ Drain Depth:~ <br />Ef'l--t ~, ~mp Model: ~.~+~ ; Static Read in Syste.:~ ft. Co~y name: ~ <br />P~mp ~cle Ti~e:~ ; Gallo~s per ~cle:~ (please <br /> <br /> (for Marion County usa 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 ~it~/~orr~ct~n~: see~nspection report <br />[ ] Denied ~U ~-- ~ ' ~ '~ ~ <br />,' Signed, LO"~'~9 If,,," ~r~.~.)~-,~ Title, ~3~ Da~e~l --q 2 <br />as-built.frm 4/95 WHITE:Marion County; YELLOW:O~er; PINK:Installer <br />MC-15-S41 <br /> <br /> <br />