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{ · (to be completed by system installer) <br /> <br />A~-BUILT PLAN OF CONSTRUCTED SYST~: <br /> scale: 1" = <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> <br /> ! <br />North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />B~(~a)~ [ ] Distribution; [~op / [~crete; [ ] Plastic <br /> <br />TO~.i Drmin,i.14 F~m.e,~ ; ~ ~, Total: /~"; ~der pipe: <br />T~h D~, Minimum:~{ ~xiu:%~ ; ~rtain Drain ~pgh:. / <br /> <br /> ~ ~le Time: ~,~ ; Gallons per ~cle: ~ <br /> <br /> [ ] Denied <br /> <br /> Signed:__ <br />Rev 4/98 <br /> <br /> (for Marion County use only) <br /> <br />s~e ~nspection report { . <br /> <br />WHITE:Marion County; Y~LLOW:Owner; <br /> <br />and <br /> <br /> <br />