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SEPTIC SYSTEM INVENTORY <br />Site Address: 4505 West Branch Rd PID 07-117-23-21-0014 <br />Owner Name: David Levy <br />Owner Address: 4505 West Branch Rd Mound MN 55364 <br />BuildingTvpe: residence Installer: Hayes Exc. <br />Date of Permit: 10/7 /86 <br />System Type: mound BR's Designed for 3 <br />In Musa?: No Shoreland?: <br />SEPTIC TANKS: <br />Material: precast concrete Capacity: 1000, 1000, 1000 Tank Filter: <br />DRAINFIELD: <br />Treatment Area: 62*34 Soil Boring: no DF Ht above Wt: 3 <br />WELL DATA <br />Setbacks - Well Tanks: 85 Well DF: 90 Report In File: Depth: <br />Date Notes' <br />11/1/2006;Okay <br />10/17/2002 no surfacing <br />6/19/2000 no surfacing, pump tanks <br />7/17/1997no surfacing <br />7/30/1993 no surfacing -pump tanks <br />10/7/1991 no surfacing -pump tanks <br />8/20/1990no surfacing <br />10/7/1986 installation <br />Date <br />GallonsOfLiquid <br />6/18/2015 <br />2500 <br />6/23/2010 <br />0 <br />8/31/2007 <br />9/21/2004 <br />2000 <br />8/13/2002 <br />2000 <br />10/8/1996 <br />2000 <br />9/18/1993 <br />2000 <br />