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SIT~ADDRESS: <br /> <br />AS-BU~,LT pLAN OF CONSTRUCTED SYSTEM: <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> ~to be completed by system installer) <br /> <br />North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />~(e~): [ ] Diatribe=ion; [ ] Drop / [ ] Concrete; [ ] Plastic <br /> <br /> ~ ~cie Time:~, =aiion. per ~cle: ,~ <br /> <br />(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 /> ~Approved ',,% ~ ,, <br /> [ ] Approved w~h ~rre~ti~] se~inspection report <br />[ ] Denied ~f~ ~/~,~ ~ <br /> <br />ts-built.rrm 4/95 <br />MC-15-S41 <br /> <br />WEITE:Marion ~oUI%ty; YELLOW:OVrner; plN~,ller <br /> <br /> <br />