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INDIVIDUAL <br /> (to be completed by system installer) <br /> <br />AS-EUILT PLAN OF CONSTRUCTED SYSTEM: <br /> scale: 1" <br /> <br />ON-SITE SEWAGE SYSTEM RECORD <br /> <br />North <br /> <br />HICKS EX(~AVATING, <br />P.O. BOX 697 <br /> CANBY, OR $7013 <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future} <br /> <br />~(I$): [~Distributio~; [ ] Dro~ / [~oncre=e; [ ] Plastic <br /> <br />~ ~;~, Mini~m: ~ ; ~ximum:~; ~r~a~n Drain Depth: <br /> <br />It to be water~ight. ' <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 /> [ ] ApprovedI wi~ cor~ec~hs: ~e inspection report <br /> [ ] Denied ,I // J . ~ // ~ ~ ~ <br /> <br />ts-built, frm 4/95 <br /> <br /> WHITE:Marion County; YELLOW:Owner; PINK:Installer <br />MC-15-S41 <br /> <br /> <br />