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. � <br /> �roperly adtlress: 2295 L�ngrriew Cer�. lnspectos initia��lfla€e: 5t24117 <br /> f. 1mRact on P"ubE�c Heatth—Cam�iance c�mpone�,t#1 0€5 <br /> _com�t�nce critetia: . ___ __ _ 1�eri#�cat�+e�hod{s�: <br /> s�stes�discharge s�wage to ma ' C�Yes C��►o C� sea€clted for su�face outiei <br /> _.�rc�un�sc,,rface. .____..�._._.....�� ,.__� ❑ Sear€�i fcu s�eping�in yard�alcup in home <br /> syste��scs�a�� ro�a� p Yes ❑rao Q �ss+�e���►�sy�ernro-ao� <br /> ar surfac�wst�rs. ; CI Homeaa�mer#e�li�stony(Sae Ccirr�nenrs�xt�arrorr) <br /> ___ __^._. _ ___. <br /> System cat�s@ sea+a9�bac4cup irttcs Q Yes ❑ No � "Bl�c sc�"abc�ve sait dispersa�sys2errt <br /> �welling or�staDieshmecrt. � ���e��i��`��+'9�Y"Pu�f��9 <br /> _. _ _ _ __.__T_____. ____—____.__.._.._____._.—. Q P�rfa�med ci},e test <br /> Any"yes"answer abo�e�e in+�e�dte�tys�rrt is Q Urtable fo v�rify(See Ccurrmer►ts!£x�srian) <br /> an ltt�minetti T�T�t to Put�c �t!S�. � Other not tisieri{See Can�nts�Euptanetronl <br /> `:ommentslE�ianation� <br /> 2. Tan�t lnte�rity—campl�c,ce��m�2 of 5 <br /> Ca �ance crifa�: ____,_-. _ ��riflc�tio�t mett�ad(a): <br /> _.�-- --__._�__.�_ <br /> S�+s2em cansisis o#a�e pk, ; Q Yes �No � Rrobed ta»k(s}bottam <br /> cesspont,�rywet3,oc ' g�Sit- p Examir�ec!c�tructia,recarrcis <br /> seepeqe pits meetirrg 7€�8v.a5go may ae Q Exa�r►ir�d Tank itttegtiiy Form(Attach} <br /> cD�ant�if&�owed in ivcsl d�`n�er. <br /> — ❑ {}�settted lie�ici lev�t belr�v operatit�de�th <br /> Seara�tank(s)l�ak k�ow t#teir Q Yes �No � Examitted emP3Y(PumPed}tanks¢s) <br /> w d�sign�d cA�ra#'sr�g depth. _ � Ptr�t�d ' f�'tk{s)fcx'"btacic soii" <br /> tf yes,which sewage tar�k(s)�tks: tr <br /> _ _ __ _____.___________ Q �na#�k to v�rity(ses co,runerr�Ex,ptena�) <br /> _..__...._._ <br /> Any"yes"ar�swer abave fnt�icate�the �;otr�er�,ad�s nat�isted�s�co�nc��r�,�r;a�1 <br /> sy�Y�am is Failirtc�to Pr+�te�c#C�+ratt,rr�sate�: <br /> i.ummentsPE�ias�atiarti: <br /> Oet 5l2�117,clxTte�s.Petersort Co.�uu�it�,!faCsi�,S. <br /> 3. C?ther Cot�pE�en�e ContNtiQns-�-Comp�iance ccmpo�ent#3 of 5 <br /> a. �rt�i€� f�c�e�vers�e ,crsdced, ,cu m� �ur�scwnd. C'i Yes* C3 rm �unknowr, <br /> p. J�et issuas{ �ar�ee�,}�imm . r�ci sdve�'�elY�mPac'•t pubGfC cu set#ety. �Ya�' G tdo �urdcrsown <br /> *S�t ls�arrmi�nf thr�,at�o pet;b�±c hsa/�F�ar�d s�y <br /> Exp[ain� <br /> �. Systet�n is t�sor►-�trot�dive Gf gr+�►nd walef f�d#�e[ 8� 'rsed by' ❑Y�` [1 No <br /> "S �faii�g to louot�act gr+ou <br /> Exptain: <br /> ___ .____ _ _�.____.__..._� �. ._ _��_. <br /> �.r,row.pca.state.mn.us • 65t-29fr63aQ • �Kl-657-386a • 7TY 65t-282-5332 a�QQ-657•386� � Avaital�te in akternaiive formati <br /> �vq-wwists4-3i • i124/tZ Paye 2 of 3 <br />