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~., ~ INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br />. (to be completed by system installer) <br /> <br /> SITE ADDRESS: ' . <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br />scale: 1" = ~' <br /> North <br />,0 <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br />~(eS)~ [ } Distri~tion; [~Drop / [~ncre~e; [ ] Plastic <br /> <br /> (for Marion County use only) <br /> The above septic system has been inspected by Marion County. The information has been determined <br /> ~ozbe accurate and'/~ system is: <br /> .~.Appro~ / I <br /> [ ] ApprOved Pith ~or~ections: see inspection report <br /> [ ] Denied ~_~~ %~ ~ <br />tls-built.frm! ~ ~ U~"' - ~ ~ITE:Marion CoUnty; YEL~W:O~er; PINK:,nstaller <br />MC-15-S41 ~' <br /> / <br /> <br /> <br />