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, � <br /> . � SEPTIC SYSTEM INVENTOR Y <br /> �ddress: 2905 Fox St. PID: 04-1 17-23 34 0007 <br /> Building Typexesidence BRs Install'd for: 8 In Musa: Yes <br /> Permit#: 4943 Date of Permit: 9/15/77 Installer: Widmer Bros. <br /> System Type: mound & standarcExperimental: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 1/3 Tank Condition: 9 DF condition: 11 Failure Pot: low <br /> SEPTIC TANKS <br /> Material: concrete block Capacity: 2000, 2000 <br /> Setback to Bldg: 100 Cesspool: <br /> DRAINFIELD <br /> Length of Lines: 500 # Lines: 5 Trench Width: 3 <br /> Treatment Area: 1500 Type of Filter: rock Soil Boring: yes <br /> Tile Size: 4 Under Tile: Perc Rate: 70 <br /> Setback DF-Bldg: 100 DF Ht above Wt: 1.2 <br /> Soil Type: loam, clay loam Limitations: water table <br /> WELL DA TA <br /> Setbacks - Well-Tanks: Well-DF: Report in File <br /> Pump Type: Depth: Diameter: Method: <br /> INSPECTION RECORD PUMPO UT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 9/29/77 added 1500 SF of DF 8/18/82 4000 <br /> 2/22/82 discharge onto farview ln. 4 <br /> 10/8/82 installed overflow pump tank to new mo�1 <br /> 12/1/82 mound overflowing 4 <br /> fall 83 started metering water use-still surfacing4 <br /> 8/11/86 no surfacing 1 <br /> 7/22/88 no surfacing 1 <br /> 6/18/91 no surfacing-pump tanks 1 <br /> 11/8/94 no surfacing-pump tanks 1 <br /> 9/19/97 trench system non-compliant-repair 200i3 <br /> 5/9/00 replace trench -2007, pump tanks 1/3 <br /> 8/12/02 no surfacing 1/3 <br /> �- 3 -��1 � � - pe�� } <br /> C(� v('o �l.o � � C,c�,�-��,; +�^� �1-�q n�S --j� . � � <br /> ' ��c� �7 C�G- <br /> :: � ; �r�--� ���� ��- <br /> .._ <br />