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Site Address: <br />Owner Name: <br />Owner Address <br />2020 Salem Ct <br />Izabella Stipakov <br />2020 Salem Ct <br />M- 42 11 WMAJ4111:%1:11 <br />Long Lake MN 55356 - <br />PID 27-118-23-31-0015 <br />BuildingTvpe: residence <br />Installer: Clover Hill Co. <br />Date of Permit: 4 /28187 <br />2000 <br />5/20/2013 <br />Svstem Type: mound <br />BR's Designed for <br />4 <br />In Musa?: Yes <br />Shoreland?: <br />YES <br />SEPTIC TANKS: <br />12/2/1999, <br />1000 <br />Material: precast concrete <br />Capacitv: 1000, 1000,1000 <br />Tank Filter: <br />DRAINFIELD: <br />Treatment Area: 70*40 <br />Soil Boring: yes <br />DF Ht above Wt: 3 <br />WELL DATA <br />Setbacks - Well Tanks: 50 <br />Well DF: 75 Report In File: <br />Depth: 151 <br />Date Notes <br />8/1/2006 Okay <br />9/28/2004 Okay <br />10/3/2002 no surfacing,pump tanks <br />6/28/2000 no surfacing <br />4/9/1998.no surfacing -pump tanks <br />7/31/1995 no surfacing -pump tanks <br />8/29/1990!no surfacing <br />7/18/1990 no surfacing <br />5/1/1987 installation <br />5/1/1987 installation <br />Date <br />GallonsOfLiquid <br />8/1/2016 <br />2000 <br />5/20/2013 <br />2500 <br />9/9/2010 <br />2280 <br />11/17/2007`' <br />2500 <br />5/3/2005! <br />2000 <br />12/2/1999, <br />1000 <br />8/1/1990' <br />2000 <br />8/1/1990', <br />2000 <br />