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SEPTIC SYSTEM INVENTORY <br /> Site Address: 665 Ferndale Rd N PID 36-118-23-11-0003 <br /> Owner Name: Franciscus Bastiaens <br /> Owner Address: 665 Ferndale Rd N Wayzata MN 55391- <br /> BuildingTvpe: residence Installer: Ouverson Excavating <br /> Date of Permit: 6/2/03 <br /> System Type: mound BR's Designed for 5 <br /> In Musa?: No Shoreland?: Yes <br /> SEPTIC TANKS: <br /> Material: precast concrete Capacity: 1250,1250,1000 Tank Filter: yes <br /> DRAINFIELD: <br /> Treatment Area: 38*83 Soil Boring: yes DF Ht above Wt: 3 <br /> WELL DATA <br /> Setbacks -Well Tanks: 50 Well DF: 50 Report In File: Depth: <br /> INSPECTION RECORDS PUMPOUT RECORDS <br /> Date Notes Date GallonsOfLiquid <br /> 9/3/2009 no surfacing-need risers 5/26/2016 3100', <br /> 8/1/2005 OK 7/19/2011 2000 <br /> 8/8/2003 installation 2/19/2009 3000 <br /> 7/17/2001 non-compliant,replace by 12/31/2010 4/28/1995 1500 <br /> 7/1/1998 non-compliant-repair by 12/31/2002 f 4/28/1995 1500 <br /> 5/30/1995 non-conforming-repair by 12/31/95 <br /> 7/2/1990 no surfacing <br /> 7/20/1987 no surfacing <br /> 4/4/1986 no surfacing, but is backing up in basement <br /> 8/16/1982 system not located-no surfacing <br /> 8/16/1982 system not located-no surfacing <br />