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SEPTIC SYSTEM INVENTORY <br />Addr; 4300 Sixth'Ave. N. <br />Buildihg Type: residence <br />PID: 31-118-23 12 0008 <br /># BRs/GPD: 3 # Systems/units:1/1 <br />Permit No: none • Date of Permit: <br />CyDtem Type: standard trench <br />1/1/66 Installer: Widmer Bros. <br />, Appliances; Indry• <br />SYSTEM CONDITION>r <br />Conformity: *3f" Tank Condition: <br />Failure Pot: medium <br />-DF.-condition: <br />SEPTIC TANKS <br />Material: concrete block <br />Setback to Bldg: - 15 <br />Capacity: 750, 500 <br />DRAINPIELD <br />Length of Lines: 195 <br />Treatment Area: - 390 <br />No. Lines: 3 Trench Width: 2 <br />Type of Filter: rock <br />Tile Size: 6 Under Tile: 16 Perc Rate mn/in: <br />Setback DF-Bldg: 20 DF Ht above WT: • 0 <br />Soil Type: clay loam Limitations: water table <br />WELL DATA <br />Setbacks - Well-Tanks: <br />Report in File?: y <br />Depth: 115 Diameter: <br />Well-DF: <br />Pump Type: subm. <br />4 Method: drilled <br />INSFECTICN RECORD <br />Date <br />12/2/82 no surfacing-pump tanks <br />8/15/86 no surfacing <br />9/17/90 no surfacing <br />8/12/91 no surfacing <br />10/18/93 no surfacing <br />8/20/96 non-conforming-repair by 12/3l/;2006 <br />Compliance <br />2 <br />2 <br />2 <br />2 <br />2 <br />3 <br />PUMPOUT RECORD <br />Date Gallons <br />6/19/79 2000 <br />5/1/87 1500 <br />..1 • <br />* •'JTT <br />• • • • V• .••• — <br />«.♦ * * >.^ . <br />-- -_^I I ■4Amm