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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br />scale: 1,, = , <br /> North <br />Id <br />(show all det~s and dimensions necessary to locate all co~onents of the system in the future) <br /> <br /> Co.any name: <br /> Pump ~cle Time: ; Gallons per ~cle: (please prin:) <br /> <br /> (for MmrXon County uae only) <br />The above septic system has been inspected by Marion County. The information has been determined to be accurate and <br /> <br /> the syste~ is: <br /> Approved <br /> [~]Approved with corrections: see inspection report <br /> [ ] Denied .~ <br /> <br />Rev 4/98 <br /> <br />FILE <br /> <br /> <br />