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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to b~ completed by system installer) <br /> <br />AS-BUILT PLAN OF CONSTRUCT]~D SYSTB]M:~ <br /> <br />scale: 1" = ' <br /> ~ ~' ,~,,-~ &~W~ North <br /> <br /> ~ ~ I 10' I <br /> ~O' <br /> <br /> M~,, ,,, <br /> <br /> (show all details and dimensi~s necessa~ to locate all components of the system in the future) <br /> <br />Box(es) ~ istribution~ [ ] ~op / [ ] Co~crete; ~lastic ( ]~roperty ~er (pe~tee) <br />zfflu~t ~: ~mp Model: t Static Head in ~stem; <br /> <br /> (for Marion Cou~tyuse only) <br /> The above septic system has been inspected by Marion County. ~ne information has been determined to be accurate a~4 <br /> the syste~ is: <br /> ~ A~proved <br /> ~[ ] Approved with corrections: see inspection report <br /> [ ) Denie~ /~ <br /> <br />Rev 4/98 <br /> <br />W~ITE:Marion County,. YELLOW: Owner,. PINK : Installer <br /> <br /> <br />