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~AR-06--96 NE9 01 ;.~8 P~ $~onSeP~ i¢~Con$~ru~th 503 769 389~ <br /> <br />P.02 <br /> <br /> INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />~-BUILT P~ OF CONSTRUC <br /> <br /> (show a ' and dimensions necessary to locage ail components of ghe system in ghe fugure) <br /> <br />le}~l{ T~, Si~e: Mag'l: Mfg SYSTEM INST~D AT ~ ~O~ ~DRES8 W~ ~N- <br />DOSiag T~I Size: <br /> Ou~ ~SSZON. <br />31 <br />[~] Distribution; [ J Drop / [ J Concrete; [ ] ~las~ie <br />Size: <br /> Sewage <br /> Se~ice <br />~mp ~cle Time: ; ~allons per ~c~e:__ <br /> <br /> (for Marion County use only) <br />The above septic system has been inspected by Marion County. The information has been determined <br />to be accurate and the system is: <br />[ ] Approved <br />[ ] Approved with corrections: see inspection report <br />[ ] Denied <br /> <br /> :d: Title: <br />as-, WHITE <br /> <br />.on County; YELLOW:Owner; PINK: <br /> <br /> <br />