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It <br /> 3685 Watertown Rd. - Orono <br /> MN-PSSD.1 (8106) <br /> U��hy"' PRIVATE SEWER SYSTEM <br /> DISCLOSURE STATEMENT <br /> RESULTS 43. Page 2 <br /> www.minnesotahomes.com n <br /> 44. Property located at 3`12, WC(6�wvt Q&,tA <br /> 45. Is the private sewer system(s)in compliance with applicable sewage treatment system laws and rules? <br /> 46. El Yes [�No <br /> 47. When was the private sewer system installed?LkAv Aowv) <br /> 48. Installer Name/Phone <br /> 49. Where is tank located? <br /> 50. What is tank size? <br /> 51. When was tank last pumped? <br /> 52. How often is tank pumped? <br /> 53. Where is the drain field located? <br /> 54. What is the drain field size? <br /> 55. Describe work performed to the private system since you have owned the Property. f w� W, <br /> 56. <br /> 57. <br /> 58. Date work performed/by whom: <br /> 59. - <br /> 60. Is private sewer system entirely within Property boundary lines, including set back requirements? c- <br /> 61. Is the system shared? NA o How many units on system? ��h Annual Fee? vv n <br /> 62. Comments: <br /> 63. <br /> 64. On this Property: <br /> 65. <br /> 66. Approximate number of: <br /> 67. people using the private sewer system vi-r <br /> 68. showers/baths taken per week vv cwt <br /> 69. wash loads per week in <br /> 70. Distance between well and private sewer system? 0,0P�j eU 4 <br /> 71. Have you received any notices from any government agencies relating to the private sewer system? <br /> 72. (If"Yes",see attached notice.) [9'Yes ❑No _ <br /> 73. Are there any known defects in he private sewer system? 2-Yes ❑No <br /> 74. If`Yes",please explain: HS LA&V til �� <br /> 5. ��� SS ^. replLl?a' i4VlC <br /> 6 <br /> 7; --_ <br /> 78. <br /> 79• ORIGINAL COPY TO LISTING BROKER; COPIES TO SELLER, BUYER, SELLING BROKER. <br /> MN-PSSD-2(8/06) <br />