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MARION COUNTY BUILDING INSPECTION <br /> C SEPTIC ACTIVITY CHECKLIST <br /> FILE NUMBER: J— 1' - 4.9 S2 DATE: (o I IT ) <br /> ADDRESS: 1`15 OS 1;4: n OMICS c r. - 1%) . <br /> The following support documents have been attached to the above file and sent to the applicant with our final report. <br /> No Attachments Required <br /> PERMIT APPROVAL <br /> SITE EVALUATION APPROVAL .gned Approved Site Plan <br /> Signed Approved Site Plan Soil Notes/Field Worksheet(S12 or S13) <br /> X Soil Notes/Field Worksheet(S12 or 813) Setback Table(S28) <br /> Stakeout Procedures(S33) _Septic Tank Abandonment Form(S2) <br /> Sand Filter Packet(S27) _Curtain Drain Diagram(S8) <br /> _ATT Packet(Sap-09) Capping Fill Diagram(S4) <br /> SITE EVALUATION DENIAL Effluent Lift Pump Guide Packet(SI1) <br /> _Signed Denied Site Plan Precover Packet(S23) <br /> Soil Notes/Field Worksheet(512 or 513) Sand Filter Inspection Schedule(S25) <br /> Re-evaluation Request(S14) Pressure Distribution Packet(S17) <br /> Winter Water Review Request(S37) ATT System Certification Form(S56) <br /> ADDITIONAL INFORMATION AS CHECKED <br /> Standard Operation&Maintenance (540) _Pumper Form(S 19) <br /> Sand Filter Operation&Maintenance(S26) _Septic Tank Abandonment Form(52) , <br /> One-Party Easement(S9) Setback Table(S28) <br /> _Two-Party Easement(S 10) _Standard System Brochure(S32) <br /> Rural Area Consideration(S42) Test Pit Requirements(S34) <br /> Sand Filter System Brochure(S24) Tile Dewatering System(S35) <br /> RECORD REVIEW PLA/PARTITIONINGS <br /> EXISTING SYSTEM/AUTHORIZATION To Planning Department <br /> Signed Approved Site Plan Copy of 1st page of issued permit <br /> Overall Site Plan <br /> NOTES/COMMENTS: <br /> G.TORMSISEPTIC\S-36 Activity Cbecklistdoc MC:S-36 rev: 12/01, 9/10 <br />