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� SEPTIC SYSTEM INVENTOR Y <br /> Address: 25 Brown Rd. S. PID: 03-1 17-23 21 0001 <br /> Building Typeresidence BRs Install'd for: 3 In Musa: No <br /> Permit#: none Date of Permit: Installer: unknown <br /> System Type: standard trench Experimental: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 6 DF condition: 11 Failure Pot: medium <br /> SEPTIC TANKS � <br /> Material: concrete block Capacity: 500 � � L,�� <br /> Setback to Bldg: 35 Cesspool: unknown <br /> DRAINFIELD <br /> Length of Lines: # Lines: Trench Width: <br /> Treatment Area: Type of Filter: Soil Boring: yes <br /> Tile Size: Under Tile: Perc Rate: <br /> Setback DF-Bldg: DF Ht above Wt: 0.5 <br /> Soil Type: Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 50 Well-DF: 75 Report in File no <br /> Pump Type: Depth: Diameter: Method: <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 8/28/81 no surfacing-tanks not found 8/7/79 500 <br /> 10/13/82 tank located 2 12/14/88 500 <br /> 8/29/84 no surfacing-does not need pumpout 2 5/16/97 500 <br /> 9/4/85 no surfacing-does not need pumpout 2 <br /> 7/30/86 no surfacing 2 8/13/O1 800 <br /> 7/1/88 no surfacing 2 <br /> 10/9/90 no surfacing-need risers 2 <br /> 5/26/92 no surfacing-need risers,pump tanks 2 <br /> 9/27/95 no surfacing-need risers 2 <br /> 10/1/98 non-compliant-repair by 12/31/2008 3 <br /> 9/18/00 non-compliant-repair byt 12/31/2010, pu 3 <br /> 6/18/02 surfacing,repair non-complianr <br />