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SITE Al/DRESS: <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />AS-BUILT PL~ OF CONSTRUCTED SYSTEM: <br /> <br />scale: 1" = <br /> <br />show all details and dimensions necessary to locate all components of the system in the future <br /> <br />[ ] Drop / [~oncrete; [ ] Plastic <br /> <br /> __; Material: Header:~~ ; Perf: ~ <br />T~t.1 Drainfiald roo~&~e,t[ <br />Trench D~th, Minimum: ~l <br /> ; Maximum: ; O/train Drain Depth: <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 ~'~hGorrec~i~: see inspection report ~ <br /> [ ] Denied I/ 0 if/~.~ <br /> Signed: '~ '_~/ ~ ~. Title: ~ Date: <br />~slbuilt.frm 4)95 <br /> <br /> WHITE:Marion County; YELLOW:Owner; PINK:Installer <br />MC-15-S41 <br /> <br /> <br />