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SEPTIC SYSTEM INVENTORY <br /> ---- - -- - __ _ _ <br /> Site Address: 2580 Fox St PID: 0411723410007 <br /> Owner Name: Jennifer E.Vervoort-Smith <br /> Owner Address: 2580 Fox St Wayzata MN � 55391 <br /> Building Type: residence Installer: <br /> Date of Permit: 12/4/87 Sullivan <br /> System Type: shallow trench BRs Designed for: �3 <br /> In Musa?: No Shoreland?: No <br /> SEPTIC COMPLIANCE INSPECTION <br /> Report Date: <br /> Compliant?: Expires: <br /> Non-Compliant?: � Report in Street File? <br /> SPEC� IAL NOTES <br /> � <br /> � <br /> SEPTIC TANKS <br /> Material: precast concrete Capacity: 1000, 1000, 1000 Tank Filter: �— <br /> DRAINFIELD <br /> Treatment Area: 900 Soil Boring: no DF Ht above Wt: r— <br /> WELL DATA <br /> Setbacks-Well-Tanks: 50 Well-DF: 100 Report in File?: � Depth: r— <br /> INSPECTION RECORD PUMPOUT RECORD <br /> Date Description Date Gallons <br /> 12/08/87 instal lation 05/25/95 2000 <br /> 06/13/91 no surfacing-pump tanks 04/15/97 2000 <br /> 11/14/94 no surfacing-pump tanks 04/12/00 2200 <br /> 09/02l97 no surfacing <br /> 05/08/00 no surfacing 10l17/01 3000 <br /> 08/07/02 no surfacing 07/09/04 2000 <br /> 07/27/04 OK <br /> 09/01/06 O K �— <br /> � � <br /> � <br />