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SEPTIC SYSTEM INVENTORY <br /> Address: 100 North Shore Dr. W. PID: 06-117-23 22 0004 <br /> Building Typ residence #BRs/GPD: 2 #Systems 1 Units Billed 1 <br /> Permit#: none Date of Permit: 1/1/76, 6/19/8 Installer: Widmer Bros., Widmer <br /> System Type standard trench Experimental: no Appliances lndry <br /> ' SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 6 DF condition: 11 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: Capacity: <br /> Setback to Bldg: 5 Cesspool: <br /> DR,4INFIELD <br /> Length of Lines 200 # Lines: 2 Trench Width: 3 <br /> Treatment Area: 600 Type of Filter rock Soil Boring: yes <br /> Tile Size: 4 Under Tile Perc Rate: <br /> Setback DF-Bldg: 30 DF Ht above Wt: 0 <br /> Soil Type: loam, clay loam Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 30 Well-DF: 50 Report in File yes <br /> Pump Type: subm. Depth: 136 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 8/22/79 no surfacing 2 8/25/87 1000 <br /> 7/19/84 no surfacing-pump tanks 2 8/7/91 800 <br /> 8/14/87 no surfacing 2 4/19/95 800 <br /> 7/31/91 no surfacing-pump tanks 2 11/6/95 500 <br /> 5/21/93 no surfacing 2 11/15/97 500 <br /> 4/4/97 non-complaint,repair by 12/31/2007 3 <br /> 6/5/00 non-compliant,repair 12/31/2010, pump t 3 <br /> Ola Sy5,r-' <br />