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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />scale: 1" = ' ~ <br /> North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />Sy~t~ ~,wi~n Sewa~ YIn, e: /~:' ~llons/Day <br /> <br />~(ef}: [ ] Distribution; ~Drop / [~Concrete; [ ] Plastic <br /> <br />QUALITY CO~MISSION. <br />[ ] I have tested the septic tank and Certify <br /> <br />The system was i~stalled by: <br />[ ] Property Owner {pe~itee) <br />[ ] Licensed Sewage Disposal Service <br /> <br />(please print) <br /> <br /> (for Marion County use only) <br />The above segtic system has been inspected by Marion County. The information has been determined to be accurate and <br /> <br /> the system is: <br /> [ ] A~proved <br /> ~A~proved with correc~ons: see inspection report <br /> <br />Rev 4/98 <br /> <br />W~IT~:M~rion County; YELLOW:OWner; P~NK:In~tall%r <br /> <br /> <br />