Laserfiche WebLink
~ INDIVIDUAL' ON-SITE SEWAGE SYSTEM <br /> (to be completed by system installer) <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYST~: <br /> scale: 1" = ~)' ~eC ~[~e~ed ~ap · <br /> <br /> RECORD <br /> <br />PERMIT <br /> <br /> ! <br />North <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />Septic Tank: Size: f~O~ Mat'l:~ Mfg: <br />Do, inS' Tank: Size:. ~OO__ Mar'l: ~ Mfg: <br /> <br />Box(e~): [~ Distribution; [ ] Drop / [ ] Concrete; [ ] Plastic <br /> " <br /> , <br /> <br />T~ Dep~: Mini~m: ~ : Maximum:~; ~rtain Drain Depth: <br />· ,,lu~t ~. ~mp Model:~ Static Head in System; <br /> <br />The system was installed by: <br />[ ] Property Owner (permitee} <br /> <br /> (for Marion County uss only) <br /> The above septic system has been inspected by Marion County. The information has been determined to be accurate and <br /> he system is: <br /> <br /> [ ] App{coved ~i~ c~rr~ct~ons: see inspection report <br /> <br />Rev 4/98 <br /> <br /> <br />