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,,, MARION COUNTY F z Ho zE :T. -Sanitation Specifications Number'? <br />Permit Issued To; ~d~-~ _~568 Property Address Rt,lt ~X <br />Septic tank: Minimum liquid capocily wiJh distribution box ~ Gals, <br /> <br />Subsurface Disposal Field required Lin, ft,~Width of trench , ,sq, ft <br />Lot survey <br />Other requirements; <br /> <br />issued by: <br /> <br /> Record Of Individual Sewage Disposal System <br />.T_~.?_e_ C om p ,ete~d~ .~..y...l_n rC.~le r/9_._ _ ~ ~...'", ~ . ~._~_.._~z.. ?,¢'~ .~ , __1 "~ ~' ,.," Address.___7~b// <br /> <br />Water supply; Public system ....... Individual well. Community system <br /> <br /> Septic lank: Distance from weIl~_,, feet. ~j;4a~'~k~J7)~7.~- No. of compartments <br /> TataJ liquid capacity___ t.~''00 ,~-¢¢.~c'~-~'~'"~gal, lnside length ~¢~'¢'~..¢,'6'¢ .,'"'¢'¢"~'f~x'"~insMe widlh fl. <br /> <br /> Diameter~. ft. Liquid depth .It. <br /> <br />Tile disposal [ield: Distribution~ .4 4. box? <br />L~ngth of each line__~' <br />Total lenglh of oll lines <br />Width al trench '~:~ '/ <br />Total square Ioolage ........ <br />Distance be/ween lines ......... <br /> <br />Yes [] <br /> <br /> No [3 Other <br /> <br />__ ft. Well , <br /> ft, Nearest <br /> <br /> ft, Lot line: Front [~J Side[] Rear [] <br /> <br /> · //,~_ ~ ! Foundation_. fi. .¢ 4' <br />Type of iii:er material: Grovel: .... ~ _¢"~,'¢'<'Z~C~r'~t,Rer ..... Depth beneath tile ¢ ....... inches. <br /> <br />Depth pt ~ilter material over tile , 7 inches, Depth of tile belo~,v original grou~id su,'foce~'~ !r' <br /> <br />ketch of installation, <br /> <br />DATE. <br /> <br />System apparently will f~'~-~iil nol [] <br /> <br />Indicate Northerly direction, <br />laspeclian w T'~8~d("~'Ed~m~Fe ~8'~¢' s returned to the Health. De <br /> JH'h .~, .............. <br /> Signature of Installer ~ ~ r ~ ~ .......................... <br /> <br /> function sotisfoctorily~ and is therefore approved ~"Disapproved ~ <br /> <br />Copies: (1) Orlg, HD Files <br /> <br />COU r~Y £A PARTMENT <br /> <br /> <br />