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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />P~ OF CONS~UCTED SYST~: <br /> <br /> North <br /> (s all de,ail nd dimensions necessary to locate all components of the ~ystem in the future) <br /> <br /> i ~BY ~TI~ ~T ~ 0N-SI~ SEWAGE <br />D,.in~i.la ,i~., Size:~, ~.ri.l: Header:~, Perf:~ DEQ License Nu~r: 3~&93 ': <br />~ ~cle Time:~; Gallons p ~ ~ (please print) <br /> <br /> (~or Marion county use only) <br /> <br /> The above septic system has been inspected by Marion County. The <br /> the system is: ~ <br /> Approv <br /> ~]App~th co ns: see inspection report <br /> <br />Rev 4/98 <br /> <br />Title:~/~5~~ <br /> WHITE:Marion County; YELlOW:Owner; <br /> <br /> <br />