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SEPTIC SYSTEM INVENTOR Y <br /> Address: 845 Willow Dr. S. PID: 10-117-23 22 0002 <br /> Building Type residence BRs Install'd for: 3 In Musa: Yes <br /> Permit#: 6093 Date of Permit: 8/29/80 Installer: Thompson Plbg. <br /> System Type: standard bed Performance: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 10 DF condition: 8 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: precast concrete Capacity: 1000, 1000, 500 <br /> Setback to Bldg: 60 Cesspool: <br /> DRAINFIELD <br /> Length of Lines: 200 # Lines: 4 Trench Width: 20 <br /> Treatment Area: 50*20 Type of Filter: rock Soil Boring: yes <br /> Tile Size: 4 Under Tile: 6 Perc Rate: <br /> Setback DF-Bldg: 75 DF Ht above Wt: 1 <br /> Soil Type: loam, clay loam Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 100 Well-DF: 115 Report in File yes <br /> Pump Type: subm. Depth: 156 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 9/4/80 replacement installation 1 2/2/79 1000 <br /> 9/12/86 no surfacing 1 2/19/80 1800 <br /> 8/3/88 no surfacing 1 5/24/90 1500 <br /> 10/23/91 no surfacing 1 4/19/91 3000 <br /> 11/2/93 non-conforming-repair by 12/31/95 3 7/1/91 2000 <br /> 10/30/95 non-conforming-repair by 12/31/96 3 7/30/96 2000 <br /> 8/25/99 non-conforming-repair 12/31/2003 3 7/01/99 1000 <br /> 10/11/01 non-compliant,replace 12/31/2010 3 7/08/02 1000 <br /> 11/13/03 non-compliant,replace by 12/31/2010 non-compliant ;2- ;21'oS' I`aoa <br /> � 1- I�-p7 J pOi7 <br /> oo 0 ef <br />