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SEPTIC SYSTEM INVENTORY <br /> Site Address: 2435 Countryside Dr PID 04-117-23-11-0005 <br /> Owner Name: John Fullerton &Andria Moldzio <br /> Owner Address: 2435 Countryside Dr Long Lake MN 55356- <br /> BuildingTvpe: residence Installer: Ritter Exc. <br /> Date of Permit: 8/17/83 <br /> System Type: mound BR's Designed for 4 <br /> In Musa?: No Shoreland?: No <br /> SEPTIC TANKS: <br /> Material: precast concrete Capacity: 1000, 1000, 1000 Tank Filter: <br /> DRAINFIELD: <br /> Treatment Area: 70*30 Soil Boring: no DF Ht above Wt: 3 <br /> WELL DATA <br /> Setbacks -Well Tanks: 50 Well DF: 75 Report In File: Depth: 214 <br /> INSPECTION RECORDS PUMPOUT RECORDS <br /> Date Notes Date GallonsOfLiquid 1 <br /> 5/1/2006 OK 9/27/2018 24001 <br /> 6/24/2004 OK 9/10/2015 24001 <br /> 8/15/2002 no surfacing,tanks sealed 6/19/2012 25001•• <br /> 4/25/2000 no surfacing, pump tanks 5/1/2009 2500 <br /> 4/30/1996 no surfacing-pump tanks 5/22/2007 2500 <br /> 5/4/1993 no surfacing-pump tanks 9/3/2002 2000 <br /> 7/23/1991,no surfacing-pump tanks 7/1/2000 2000 <br /> 7/19/1990 no surfacing 6/1/1997 2000 <br /> 7/1/1987 house occupied as of 11/85-no surfacing 9/2/1993 2000 <br /> 9/21/1983 installation 6/13/1988 1500 <br /> 9/21/1983 installation 6/13/1988 1500! <br />