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SEPTIC SYSTEM INVENTOR Y <br /> Address: 2135 Sixth Ave. N. PID: 27-118-23 31 0005 <br /> Building Type residence BRs Install'd for: 3 In Musa: Yes <br /> Permit#: none Date of Permit: 6/1/73 Installer: Roto Rooter <br /> System Type: standard trench Experimental: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 5 DF condition: 11 Failure Pot: high <br /> SEPTIC TANKS <br /> Material: concrete block Capacity: 600 <br /> Setback to Bldg: 25 Cesspool: yes <br /> DRAINFIELD <br /> Length of Lines: 200 # Lines: 2 Trench Width: 2 <br /> Treatment Area: 400 Type of Filter: rock Soil Boring: yes <br /> Tile Size: Under Tile: Perc Rate: <br /> Setback DF-Bldg: 30 DF Ht above Wt: 0 <br /> Soil Type: Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 50 Well-DF: 75 Report in File <br /> Pump Type: subm. Depth: Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 9/10/79 no surfacing 2 9/1/79 800 <br /> 8/12/82 no surfacing 2 12/1/88 1000 � <br /> � <br /> 8/13/86 no surfacing 2 12/30/89 500 <br /> 9/13/90 no surfacing 2 9/1/90 800 <br /> 5/16/95 non-conforming-DF saturated,pump tank3 3/1/91 800 <br /> 9/24/98 non-compliant-DF sat,repair by 12/31/203 9/30/97 750 <br /> 9/5/00 non-compliant, DF sat,replace by 12/31/:3 7/6/98 750 <br /> 10/08/02 surfacing,replace by 10/O1/2003 non-compliant 7/26/00 1000 <br /> � 7/09/O1 1000 <br /> �OOV Co�rct-�� � �� 5��.,,L%' 6/09/02 750 <br /> 12/19/02 750 <br /> `� <br /> ' � <br /> . .. ' . . . � .. . .. . ... � � . F .. <br /> . . � . �.� . �. � . ... '. . . . . i <br /> � . ' � . . . . . - � � � t <br /> ' <br /> . . . . . ;. ; . . -,> ��.: <br /> .. ., .� . . , , . .' <br /> t <br /> ..... . ... . _.. .. .._ . .. . . _ .. . . . . _. , ... _ .., . . ni]�..< . . _.. . __ s _ <br /> . . . . _ - _ . . n . � �. � ..- , z � .+4 � - ., � ,� Y�_ i. -,... � . � s . <br />