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SEPTIC SYSTEM INVENTORY <br /> Addr: 1965 Country Club Rd. PID: 27-118-23 42 0020 <br /> Building Type : residence # BRs/GPD : 4 # Systems/units : 1/1 <br /> Permit No: 3802 Date of Permit : 10/5/73 Installer: Ouverson Exc . <br /> System Type : standard trench Appliances : lndry, dshw <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 10 DF condition: 11 <br /> Failure Pot : medium <br /> SEPTIC TANKS <br /> Material : precast concrete Capacity: unknown <br /> Setback to Bldg : 10 <br /> DRAINFIELD <br /> Length of Lines : No . Lines : Trench Width: <br /> Treatment Area : Type of Filter: <br /> Tile Size : Under Tile : Perc Rate mn/in : <br /> Setback DF-Bldg : DF Ht above WT: 0 . 2 <br /> Soil Type : Limitations : water table <br /> WELL DATA <br /> Setbacks - Well-Tanks : Well-DF : <br /> Report in File? : Pump Type : <br /> Depth: Diameter: Method: <br /> INSPECTION RECORD PUMPOUT RECORD <br /> Date Compliance Date Gallons <br /> 7/6/78 no surfacing s 1/1/84 1000 <br /> 6/20/84 no surfacing 2 9/13/93 2000 <br /> 7/25/86 no surfacing 2 <br /> 6/21/88 no surfacing 2 <br /> 10/8/90 no surfacing-pump tanks 2 <br /> 7/27/92 no surfacing-pump tanks 2 <br /> 9/19/94 no surfacing 2 <br /> 10/18/95 non-conforming-repair by 12/31/97 3 <br /> S � <br /> � <br /> � <br />