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SEPTIC SYSTEM INVENTORY <br />Site Address: <br />640 Orchard Park Rd <br />Flu: 3z116z3zzu0u5 <br />Owner Name: <br />Anthony R. Kmetz <br />Owner Address: <br />640 Orchard Park Rd <br />Long Lake MN 55356 <br />Building Type: <br />residence <br />Installer: <br />Date of Permit: <br />8 /27/98 <br />Bud Gleason <br />System Type: <br />mound <br />BRs Designed for: 4 <br />In Musa?: <br />No <br />Shoreland?: <br />SEPTIC COMPLIANCE INSPECTION <br />Report Date: <br />Compliant <br />Expires: <br />Nan -Compliant?: <br />Report in Street File?: <br />SPECIAL NOTES Site Address: 640 Orchard Park Rd <br />06/02/08 2008 Septic Maintenance Report Letter Sent <br />03/16/09 2009 Septic Maintenance Report Letter Sent <br />SEPTIC TANKS <br />Material: precast concrete Capacity: 1000, 1000, 1000 Tank Filter: <br />DRAINFIELD <br />Treatment Area: 85*40 Soil Boring: yes DF Ht above Wt: 3 <br />WELL DATA <br />Setbacks - Well -Tanks: 100 Well-DF: 75 Report in File?: Depth: <br />INSPECTION RECORD PUMPOUT RECORD <br />Date Description Date Gallons <br />9 /23/98 replacement installation <br />8 /19199 final inspection OK <br />9 /9 /99 no surfacing <br />8 /22/01 no surfacing, need risers <br />9112/03 no surfacing,pump tanks 2004 <br />06/09/05 Okay, Pump Tanks <br />3/25/2009 <br />11:46:24 AM <br />