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SEPTIC SYSTEM INVENTORY <br /> Site Address: 1925 Fox St PID 03-117-23-43-0002 <br /> Owner Name: Jennifer Ostergaard <br /> Owner Address 1925 Fox St Wayzata MN 55391- <br /> BuildingTvpe: residence Installer: Burns Excavating <br /> Date of Permit: 08/28/2012 <br /> System Type: mound BR's Designed for 3 <br /> In Musa?: No Shoreland?: Yes <br /> SEPTIC TANKS: <br /> Material: precast concrete Capacity: 1000, 1000, 1000 Tank Filter: yes <br /> DRAINFIELD: <br /> Treatment Area: 380 Soil Boring: yes DF Ht above Wt: 3 <br /> WELL DATA <br /> Setbacks -Well Tanks 50 Well DF: 50 Report In File: Depth: 112 <br /> INSPECTION RECORDS - PUMPOUT RECORDS <br /> Date Notes Date GallonsOfLiquid <br /> 11/16/2017 Compliance Certificate vaild until 11/16/2020 5/12/2017 1250 <br /> 8/28/2012 new mound system installation 8/28/2012 0 <br /> 10/5/2009 Non-Compliant P.O.S. 10/5/2009 0 <br /> 9/1/2006 OK 12/31/2005 0 <br /> 12/31/2005 Risers are not sealed very good 10/31/2001 2000 <br /> 7/22/2004 OK 10/14/1991 2000 <br /> 8/6/2002 no surfacing 6/6/1989 3000 <br /> 5/5/2000 no surfacing, pump tanks 6/6/1989 3000 <br /> 8/25/1997 no surfacing-tanks pumped recently? <br /> 11/14/1994 no surfacing-trees near DF,remove <br /> 6/10/1992 no surfacing-trees near DF,remove <br /> 10/30/1990 no surfacing <br /> 7/6/1988 no surfacing <br /> 8/7/1986 no surfacing <br /> 11/4/1985 new system installed <br /> 11/4/1985 new system installed <br />