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SEPTIC SYSTEM INVENTOR Y <br /> Address: 800 Brown Rd N. PID: 3411823110005 <br /> Building Typeresidence BRs Install'd for: 4 In Musa: Yes <br /> Permit#: 5235 Date of Permit: 6/29/78 Installer: Widmer <br /> System Type: standard trench Experimental: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 5 DF condition: 8 Failure Pot: medium � <br /> p�r � <br /> SEPTIC TANKS �r` , <br /> Material: concrete block Capacity: 1000, 750 <br /> Setback to Bldg: Cesspool: no � �'�� <br /> � <br /> DRAINFIELD <br /> Length of Lines: 425 # Lines: 6 Trench Width: 3 <br /> Treatment Area: 1275 Type of Filter: Soil Boring: yes <br /> Tile Size: Under Tile: 12 Perc Rate: <br /> Setback DF-Bldg: DF Ht above Wt: 0.8 <br /> Soil Type: sandy clay Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 75 Well-DF: 75 Report in File yes <br /> Pump Type: subm. Depth: 120 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 7/19/78 added DF-need risers 1 10/30/86 800 <br /> 7/16/81 no surfacing-need risers 1 8/1/87 1800 <br /> 8/5/86 no surfacing-need risers 1 5/1/91 <br /> 6/29/88 no surfacing 1 1500 <br /> 10/OS/90 no surfacing-pump tanks 1 8/11/93 1500 <br /> 5/27/92 no surfacing 1 1/4/96 1500 <br /> 9/6/95 non-conforming-repair by 12/31/95 3 11/3/98 1800 <br /> 8/26/98 non-compliant-replace by 12/31/2002 3 t b-� q-� � QO`j <br /> 7/20/00 non-compliant-replace by 12/31/2007 3 <br /> 6/13/02 non-compliant-replace by 12/31/2007 3 <br /> � i <br /> � -��� �--� : <br /> �� _ ��� - i,�� i .j�,(L Q � ��' <br /> � �� � Y � <br /> � 1 �" `"l S�`'� <br />