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SEPTIC SYSTEM INVENTORY <br />Site Address: 840 Old Crystal Bay Rd S PID 09-117-23-12-0002 <br />Owner Name: James Willimas & Heidi Heizman-Williams <br />Owner Address: 840 Old Crystal Bay Rd S Wayzata MN 55391- <br />BuildingTvve: residence Installer: Kothrade <br />Date of Permit: 10/24/11 <br />Svstem Tvpe: mound BR's Designed for 5 <br />In Musa?: Yes Shoreland?: <br />SEPTIC TANKS: <br />Material: concrete precast Capacitv: 1300, 1300, 1300 rank Filter: yes 2nd tqank <br />DRAINFIELD: <br />Treatment Area: 630 Soil Boring: yes DF Ht above Wt: 3 <br />WELL DATA <br />Setbacks - Well Tanks: 100 Well DF: 100 Report In File: Depth: 112 <br />INSPECTION RECORDS <br />Date j Notes <br />10/24/2011 new installation mound system <br />9/10/2003 non-compliant, replace by 12/31/2010 <br />8/28/2001 non-compliant,replace by 12/31/2010 <br />10/29/1999 non -conforming, repair by 12/31/2008 <br />8/13/1997 non -compliant -repair by 12/31/2000 <br />7/23/1993 non-conforming,no surfacing,repair 12/31/95 <br />10/17/199fDF surfacing <br />7/21/1988 no surfacing <br />8/19/1986 no surfacing <br />10/7/1981 no surfacing <br />PUMPOUT RECORDS <br />Date GallonsOfLiquid <br />1/4/2019 3000; <br />6/2/2017 4000 <br />12/16/2014 3500 <br />9/26/2013 3500 <br />10/24/2011 0 <br />9/30/2008 1000 <br />8/10/1993 1000 <br />8/1/1990 1000 <br />7/30/1979 S00 <br />