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SEPTIC SYSTEM INVENTOR Y <br /> Address: 879 Brown Rd. N. PID: 27-118-23 34 0004 <br /> Building Type residence #BRs/GPD: 3 #Systems 1 Units Billed 1 . <br /> Permit#: 7233, 2866 Date of Permit: 11/7/83, 9/24/ Installer: Jerry Johnson,Norman& yll <br /> System Type standard trench Experimental: no Appliances lndry <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 6 DF condition: 11 Failure Pot: medium <br /> SEPTIC TANKS ` <br /> Material: concrete block Capacity: 600, 600 <br /> Setback to Bldg: 15 Cesspool: unknown <br /> DRAINFIELD <br /> Length of Lines 270 #Lines: 3 Trench Width: 3 <br /> Treatment Area: 810 Type of Filter rock Soil Boring: yes <br /> Tile Size: 4 Under Tile 12 Perc Rate: <br /> Setback DF-Bldg: 40 DF Ht above Wt: 0 <br /> Soil Type: loam Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 60 Well-DF: 75 Report in File <br /> Pump Type: subm. Depth: 193 Diameter: 4 Method: drilled <br /> � INSPECTION RECORD PUMPO UT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 7/14/81 no surfacing, but Df is nearly saturated 2 8/13/81 1500 <br /> 11/8/83 added 800 SF of DF 2 10/1/90 1000 <br /> 8/5/86 no surfacing 2 5/25/93 1000 <br /> 6/29/88 no surfacing 2 8/23/94 1000 <br /> 10/5/90 no surfacing-pump tanks 2 <br /> 5/27/92 no surfacing � 2 <br /> 9/8/95 non-conforming-repair by 12/31/97 3 <br /> 8/20/98 non-compliant-connect sewer by 12/31/9 3 <br />