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SITE, ADDRESS: <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br /> ~[~ ,~, r ~0 , <br /> I'~ I~ <br /> (show all details and dimensions necessary go locate all components of the system in the future) <br /> <br />~S~ ~: Size: / ~t'l: / Mfs: /, [~I have te~ted ~he septic ta~ and certify <br />To~al Prain~i.ld Footage, ~/; ~k D.~, Total: /~; Under pipe:~ <br />~mp ~le Time: / ; ~llons per ~cle: / (please prin=) <br /> <br />The above septic system has been inspected by Marion County. The information has te e&.t6 be accurate and <br />  s <br /> ystem is: <br /> Approved <br /> <br /> ] Approved with corrections: see inspection report <br />Rev 4/98 <br /> <br />WHITE:Marion County; YELLOW:Owner( PI~K:Installer <br /> <br />A~-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br /> <br />