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SEPTIC SYSTEM INVENTOR Y <br /> Address: 3065 Jamestown Rd. PID: 28-118-23 33 0008 <br /> Building Type residence BRs Install'd for: In Musa: Yes <br /> Permit#: Date of Permit: Installer: <br /> System Type: standard trench Performance: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 5 DF condition: 8 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: Capacity: <br /> Setback to Bldg: Cesspool: <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 <br /> Soil Type: Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 60 Well-DF: 90 Report in File yes <br /> Pump Type: subm. Depth: 242 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 9/2/77 installation 5/1/91 2500 <br /> 8/1/78 add pool near DF 10/7/94 2000 <br /> 9/24/79 no surfacing-need risers 1_2 7/8/96 2800 <br /> 7/27/84 no surfacing 1_2 <br /> 6/16/88 no surfacing-need risers 1_2 9/20/Ol 2000 <br /> 9/19/91 no surfacing-MH accessible 1-2 9/29/03 2000 <br /> 9/29/93 non-conforming-repair by 12/31/95 3 <br /> 7/15/96 non-conforming-repair by 12/31/96 3 <br /> 9/22/99 non-conforming, repair by 12/31/03 3 <br /> 8/13/O1 non-compliant,replace by 12/31/2007 3 <br /> 8/20/03 non-compliant,replace by 12/31/2007 non-compliant <br />�•,�`I -<U � �� k `I '` <br /> ,� <br /> — �c� <br /> . � �� <br /> � � � <br /> � <br />