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�.. SEPTIC SYSTEM INVENTORY <br /> Address: 1005 Old Long Lake Rd. PID: 35-118-23 42 0001 <br /> Building Type: residence BRs Install'd for: 4 In Musa: Yes <br /> Permit#: 5213 Date of Permit: 6/22/78 Installer: Jerry Johnson <br /> System Type: standard trench Experimental: no Appliances: lndry,dshw <br /> SYSTEM CONDITION <br /> Conformity: 2 Tank Condition: 9 DF condition: 11 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: concrete precast& Capacity: 1000, 500 <br /> Setback to Bldg: 25 Cesspool: unknown <br /> DRAINFIELD <br /> Length of Lines: 200 # Lines: 4 Trench Width: 3 <br /> Treatment Area: 600 Type of Filter: rock Soil Boring: yes <br /> Tile Size: 4 Under Tile: 12 Perc Rate: <br /> Setback DF-Bldg: 20 DF Ht above Wt: 3 <br /> Soil Type: clayey sand & gravel Limitations: <br /> WELL DATA <br /> Setbacks - Well-Tanks: 75 Well-DF: 75 Report in File <br /> Pump Type: Depth: Diameter: Method: <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 6/27/78 add 1st tank (1000 gal),DF (600 sf) s 6/24/78 500 <br /> 5/22/80 no surfacing 2 8/21/81 1500 <br /> 7/22/86 no surfacing 2 10/11/82 1000 <br /> 8/19/88 no surfacing 2 10/1/88 1500 <br /> 9/25/90 no surfacing 2 2/3/93 2000 <br /> 10/23/92 no surfacing-pump tanks 2 7/27/98 1200 <br /> 10/18/93 conforming-no surfacing 2 1/21/00 1800 <br /> 10/19/94 no surfacing 2 2/10/00 2000 <br /> 11/2/98 no surfacing 2 3/13/00 1500 <br /> )._y-oc) (ocnecTc� St6/27/00 1500 <br />