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(to be completed by system inatallar) <br />&S-BUILT ~%~N O~ COnSTRUCTeD SYS~M: <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> <br />North <br /> <br />;/ <br /> <br />(show all details and dimensions necessary to locate all compone,nts of the system in the future) <br /> <br />£&~Drop / [A~'oncrete; [ ] Plastic <br /> <br /> ; Material: Header: P~ .; Perf: ~ <br /> <br />Minimum:~;' , Maximum: ~ , Curtain Drain Depth: ~/~ <br /> ~:~; Static Head in Sys=em: ~,/ f= <br /> Time: ,~/~ ; Gallons per ~cle: ~ <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 /> Signed: <br />aS-built.frm 4/95 <br />MC-15-S41 <br /> <br />Title: Date: <br /> WHITE:Marion County; YELLOW:Owner; PINK:Installer <br /> <br /> <br />