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SEPTIC SYSTEM INVENTORY <br />Site Address: 405 Old Crystal Bay Rd S PID 04-117-23-24-0004 <br />Owner Name: Brandon Mogensen & Heidi Schaff <br />Owner Address: 405 Old Crystal Bay Rd S Long Lake MN 55356- <br />BuildingTvpe: residence Installer: Kothrade <br />Date of Permit: 9/25/03 <br />Svstem Type: Performance Bed BR's Designed for 3 <br />In Musa?: No Shoreland?: <br />SEPTIC TANKS: <br />Material: precast concrete <br />DRAINFIELD: <br />Treatment Area: 900 <br />WELL DATA <br />Setbacks - Well Tanks: 50 <br />Capacitv: 1500 combo,multi-flo,1 Tank Filter: <br />Soil Boring: yes DF Ht above Wt: 1 <br />Well DF: 75 Report In File: Depth: <br />Datei Notes <br />7/20/2015iCertification of Compliance -valid until 7-20-2018 Steve Sc <br />7/31/2003 performance installation <br />8/30/2001 DF Surfacing, replace by 8/30/02 <br />10/26/1999 non -conforming, replace by 12/31/2007 <br />8/11/1997 non-complliant-repair by 12/31/2007 <br />7/21/1993 no surfacing -pump tanks <br />5/29/1992 DF repair -pipe added to new DF,DF already full,high failure <br />5/5/1992DF surfacing <br />10/9/1991'DF surfacing -pump tanks <br />8/23/1988'no surfacing <br />8/18/1986Ino surfacing <br />10/28/1981 no surfacing <br />:ok <br />Date <br />GallonsOfLiquid <br />6/1/2015 <br />1800 <br />8/3/2011 <br />1800 <br />10/7/2008 <br />10/30/2003 <br />2500 <br />2/19/2003' <br />1500 <br />4/17/2001' <br />1000 <br />9/20/2000' <br />1300 <br />5/1/2000 <br />2000 <br />8/18/1998 <br />1000 <br />11/15/1996'' <br />1000 <br />3/24/1996' <br />1000 <br />5/19/1992 <br />1000 <br />10/28/1991 <br />1200 <br />11/1/1990 <br />1000 <br />11/6/1989; <br />1000 <br />4/13/1987; <br />1000 <br />9/27/1978 <br />1500 <br />