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� SEPTIC SYSTEMINVENTORY <br /> � <br /> Address: 2160�hevlin Dr. PID: 03-117-23 34 0019 <br /> Building Type: � residence BRs Install'd for: 4 In Musa: Yes <br /> Permit#: 3709 j Date of Permit: 7/17/73 Installer: Ouverson Exc. <br /> System Type: sta�tdard trench Experimental: no Appliances: lndry,dshw <br /> SYSTEM CONDI�'ION <br /> Conformity: 3 ' Tank Condition: 5 DF condition: 11 Failure Pot: medium <br /> SEPTIC TANKS ' <br /> Material: concrpte block Capacity: 1000, 1000 <br /> Setback to Bldg: 'i Cesspool: <br /> DRAINFIELD 1 <br /> Length of Lines: # Lines: Trench Width: <br /> Treatment Area: Type of Filter: Soil Boring: yes <br /> Tile.Size: Under Tile: Perc Rate: <br /> Setback DF-Bldg: DF Ht above Wt: 0 <br /> Soil Type: loam, �Clay loam Limitations: water table <br /> � <br /> ; <br /> WELL DATA <br /> Setbacks - Well-Ta$�ks: 50 Well-DF: 70 Report in File yes <br /> Pump Type: subrr�. Depth: 164 Diameter: 4 Method: drilled <br /> �INSPECTION RECORD PUMPOUT RECORD <br /> DATE DES�CRIPTION COMPLIANCE DATE GALLONS <br /> 7/11/78 no sur�'acing s 12/28/79 2000 <br /> 5/16/84 no sur�'acing 2 3/16/92 2000 <br /> 7/23/86 DF surlfacing 4 5/11/95 2000 <br /> 7/29/88 no sur$acing 2 5/6/96 2600 <br /> 6/29/90 no surfiacing 2 <br /> 3/16/92 pipe replaced from ist tank to DB,pumpe 2 <br /> 3/4/93 non-cohforming-repair by 12/31/95 3 <br /> 10/5/94 non-conforming-repair by 12/31/96 3 <br /> 11/7/97 non-compliant-repair by 12/31/2001 3 <br /> ►�-�S-oo �a�.�e�.��� ro SeNcr- <br />