Laserfiche WebLink
INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />A~-BUILT PLAN OF -~U~TRUCTED SYST~: <br /> <br />scale: 1" = ~ <br /> <br /> ! <br />North <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> <br />(show all details and dimensions necessary to locate all com <br /> <br />Tank: Size: <br /> <br />Gallons/Day <br /> <br /> Distribution; r ] Drop / [ ] Concrete; [ ] Plastic <br /> <br />~: ~mp Model: ~ ; Static Head in ~stem; ~ Ft. <br /> ~p ~cle Time: ~ ; ~11o~ per ~cle: <br /> <br />)onents of the system in the future) <br /> <br />The system was installed by: <br />[ ] Pmoperty Owner (permitee) <br />[ ] Lice~sed Sewage Disposal Service <br /> DEQ License Number: ~&~ ~ <br /> <br /> (for Marion County uss only) <br /> The above septic system has been inspected by Marion County. The information has been determined to be accurate and <br /> the system is: <br /> ~Approved <br /> [ ] Appro~d with~o~ec~ions: see <br /> inspection <br /> report <br /> [ ] Denied <br /> <br />MC15-S41 <br />Rev 4/98 <br /> <br />wal'~'~:Marion county; YELLOW:Owner; PIN~.] staller <br /> <br /> <br />