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� R, SEPTIC SYSTEM INVENTOR Y <br /> Address: 776 Brown Rd. N. PID: 34-118-23 12 0001 <br /> Building Type residence BRs Install'd for: 5 In Musa: Yes <br /> Permit#: 5315 Date of Permit: 9/19/78 Installer: Sullivan <br /> System Type: standard trench Experimental: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 5 DF condition: 11 Failure Pot: med <br /> SEPTIC TANKS <br /> Material: precast concrete Capacity: 1000, 1000 <br /> Setback to Bldg: 20 Cesspool: <br /> DRAINFIELD <br /> Length of Lines: 430 # Lines: 5 Trench Width: 2.5-5 <br /> Treatment Area: 1265 Type of Filter: rock Soil Boring: yes <br /> Tile Size: 4 Under Tile: 12 Perc Rate: 25 <br /> Setback DF-Bldg: 50 DF Ht above Wt: 1 <br /> Soil Type: sandy clay Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 80 Well-DF: 100 Report in File yes <br /> Pump Type: subm. Depth: 202 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 9/22/78 installation c 4/1/92 2000 <br /> 7/16/81 no surfacing 1 6/5/93 2000 <br /> 8/5/86 DF saturated 4 8/20/94 750 <br /> 6/29/88 DF saturated-maybe due to sprinkler syst 3 4/22/97 1500 <br /> 10/5/90 no surfacing-need risers and pump tanks 1 11/9/98 3000 <br /> 5/27/92 no surfacing 1 8/27/O1 2000 <br /> 9/6/95 non-conforming-repair by 12/31/97 3 6/17/02 2000 <br /> 8/24/98 non-compliant-DF surfacing 3 <br /> 3/16/00 non-compliant, no surfacing, repair 12/31 3 <br /> 6/13/02 surfacing,replace non-complian% <br /> b—�"�`� (a^.c�zLr-r� j7/ jCwt� <br />