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� <br /> ' � SEPTIC SYSTEM INVENTORY <br /> Address: 80 Smith Ave. PID: 02-117-23 21 0004 <br /> Building Type: residence #BRs/GPD: 3 #Systems 1 Units Billed 1 <br /> Permit#: 6543 Date of Permit: 11/9/81 Installer: Jerry Johnson <br /> System Type standard trench Experimental: no Appliances lndry <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 6 DF condition: 13 Failure Pot: failing <br /> SEPTIC TANKS <br /> Material: concrete block Capacity: 800, 500 <br /> Setback to Bldg: 75 Cesspool: unknown <br /> DRAINFIELD <br /> Length of Lines 75 #Lines: 1 Trench Width: 4 <br /> Treatment Area: 300 Type of Filter rock Soil Boring: yes <br /> Tile Size: 4 Under Tile 6 Perc Rate: <br /> Setback DF-Bldg: 100 DF Ht above Wt: 0 <br /> Soil Type: loam,clay loam Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 90 Well-DF: 110 Report in File: <br /> Pump Type: Depth: Diameter: Method: <br /> INSPECTION RECORD P UMPO UT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 7/21/81 surfacing by tanks 4 11/11/81 1000 <br /> 11/9/81 added DF (300 sfl,risers on tanks 2 10/19/90 800 <br /> 7/31/86 no surfacing 2 5/5/94 1500 <br /> 7/14/88 no surfacing 2 12/5/97 800 <br /> 9/27/90 no surfacing-pump tanks 2 <br /> 4/21/94 DF surfacing-pump tanks 3 <br /> 12/2/97 DF surfacing-pump tanks 3 <br /> 7/13/98 non-compliant-DF surfacing,repair 10/13/ 3 <br /> _ o�,��c�d � �e`,�� <br /> C <br /> � �I • �,�1,��&-< =�,�r <br /> 1�C� � n ' _�; <br /> l <br /> � ' �t .. .. .. <br /> t <br />