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INDIVIDUAL ON-SITE~WAGE SYSTEM RECORD <br /> ~to be completed h~ System installer) <br /> <br />~-B~T P~ OF C~TRUCT~ SYST~: <br /> scale: 1" =~O ' <br /> <br />/~o/ 6..¢ h <br /> <br /> ? <br /> <br />North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />STRUCTED IN ACCORDANCE WITH THE REQUIREMENTS 0F <br />THE PERMIT A~D THE RULES OF THE ENVIROnMeNTAL <br />Q~U~TY ~iSSiON. <br />[~I have t~S%ed the septic tank and certify <br /> <br />[, ~,~ro~erty Owner (pemitee) <br /> <br /> D. te, /e /r/g ffi <br /> <br />B~(ee) ~ [ ] Distribution; [ ] Drop / [ ] Concrete; [ ] Plastic <br /> <br />T~ ~: Mi~i~m:~; ~i~; ~rtain Drain Depth: <br /> <br /> (for Marion County us, only) <br />The above septic system has teen inspected by Marl~n County. The ~nformation has been determined to be accurate and <br /> <br />~ ] Appr0v~d with corrections: see i~pection report <br />=[ ) Denied <br /> <br />Rev 4/98 <br /> <br /> <br />