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% <br />S~'~E ~DRESS: <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />A~-BUILT PLAN OF CONST IUCTED SYSTEM= <br /> <br />scale: 1" = ' ~?A"~ <br /> ~;0' /9 ~-/~ I North <br />MARION CO~ <br />BUILDING tNSI Z~ION~[~0 ~ <br /> <br /> (show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />s~ ~, s~,,: lOOO ~ ~'1: ~O~C, Mfs: ~ SYS~ INSTALLED AT THE ~0~ <br />~(~) ~ ~ Distribution; [ ] Drop / ~ Concrete; [ ] Plastic <br />~ ~ Licensed Sewage Disposal Se~ice <br />TX~ ~t Minimum: ~F~ ; ~ximu~: ~4" ; Curtain Drain Depth:__ Si~ed: ~8~4 <br />· f~l,~t ~, ~p Model: ; Static Head in System: ft. Company name: ~ <br /> <br /> (for Marion County use only) <br /> The above septic system has been inspected by Marion County. The information has been dete~ined <br /> to be accurate and the system is: <br /> [~] Approved <br /> Approved with corrections: see inspection report ~ <br /> <br />as-built~f~ 4/95 ' WHITE:Marion County; YELLOW:O~er; PINK:Installer <br />MC-15-S41 <br /> <br /> <br />