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SITE ADDRESS: <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYST~: <br /> <br /> scale: 1" = <br /> <br />INDIVIDUAL ONiSITE SEWAGE SYSTEM RECORD <br /> (to be completed by system install, er) <br /> <br /> ~ / _ NO. <br /> <br />Li~4f, <br /> <br />T~ <br /> <br />(show all details and dimensions necessa~ to locate all components of the system in the future) <br /> <br />Dosing Tank: Size: ~/~ Matll: -- Mfg: ' <br /> <br />Bo~(es): ~ ~ Distribution; [ ] Drop / ~ Concrete; [ ] Plastic <br /> <br />The system was installed by: <br />Property Owner (per~itee} <br /> Licensed Sewage Disposal Service <br /> <br /> (for Marion County use only) <br />The above septic system has been inspected by Marion County. The information has been determined to be accurate and <br />]system is: <br /> Approved <br /> Approved with corrections: see inspection report <br /> <br />Rev 4/98 <br /> <br />W~l'r~:Marion County; YELLOW:Owner[ PIN~:Znstaller <br /> <br /> <br />