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'¥A~MHII L COUNTY RECORD OF SEWAGE DISPOSAL SYSTEM <br /> <br />Total Number: <br />Water Supply: <br />Septic Tank; <br /> <br />Dralnfietd: <br /> <br />Pump System: <br /> <br />Liu. ng Un.ts ~ Bedroom¢~_ ~asgment: ~es No ...... ~.~ <br />Public System ~ <br /> <br />Total Liquid C~pa¢,ity .~ gal. Manufacturer.S' . <br />Total Linear Feet 3 ~'~t. Number of Distribution <br />Total Square Footage (~ ~ ft, Header P;pe (ASTM~) <br /> <br />OJ~anoo of Well From Closest Port~on of Drain[Jeld <br /> <br />W¢rking Capacity of Chamber ' ~" /Gallon6 pa/cycle gal <br /> <br />"Working Capacity" Remaining After Alarm Has Activated gal. <br /> SK~CH OF IACTUAL SYSTEM AS CONSTRUCTED <br /> <br />Si~'nature of In'taller ~ Date <br />sen.fm:reosewdi.fml {Form //44) <br /> <br />CANARY COPY. Homeowner PINK COPY. Instal/er <br /> <br /> <br />