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SITE ADDRESS: <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />A~-BUILT PLA/{ OF CONSTRUCTED SYSTEM: <br /> <br />scale: 1" = <br /> <br />t <br /> <br />(show all details and dimens:ions necessary <br /> <br />North <br /> <br />Distri~clon;~ Drop / [ ] ConcreCe~ C ] Plastic <br /> <br /> Size: ~ '~ ~ <br /> <br /> '~ (~or Marion County use only) <br /> The above septic sys=em has been inspected by Marion County. The information has been determined· <br /> e accurate and the system is: <br /> <br /> [ ] App~oved~-~h df~rfections: see inspection report <br /> <br /> Title: Date: <br /> WHITE:Mar~on County; YELLOW:Owner; PINK:I~staller <br />MC-15-S41 ~ <br /> <br /> <br />