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~S-B~UILT F~AN OF CONSTRUCTED SYST~: <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be Completed by system installer) <br /> <br /> ! <br />North <br /> <br />! <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />Q TY COb94ISSION. <br />~I have tested the septic tank and certify <br /> it to be watertight. <br /> <br />The system was installed by: <br /> [ ] operty {permitee) <br /> ~censedOwner <br /> Sewage Disposal Service <br /> <br />Signed~ <br />(please print) <br /> <br /> (for Marion County use on1¥} <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 /> [~] Approved with corrections: see inspection report <br /> <br />MC15-S41 W~ITE:Marion County; YELLOW:Owner; P~NK:Installer <br />Rev 4/98 <br /> <br /> <br />