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4/1/2009 <br />3:49:20 PM <br />SEPTIC SYSTEM INVENTORY <br />Site Address: <br />2070 Shoreline Dr <br />PID: 1511723210005 <br />Owner Name: <br />John P. Thysell <br />Owner Address: <br />2375 Longview Cir <br />Long Lake MN <br />55356 <br />Building Type: <br />residence <br />Installer: <br />Date of Permit: <br />4/11/83 <br />Coppin Plbg. <br />System Type: <br />standard trench <br />BRs Designed for: <br />4 <br />In Musa?: <br />Yes <br />Shoreland?: <br />SEPTIC COMPLIANCE INSPECTION <br />Report Date: <br />Compliant <br />Expires: <br />Non -Compliant?: <br />Report in Street File?: <br />Site Address: <br />2070 Shoreline Dr <br />SPECIAL NOTES <br />03/16/09 2009 Septic Maintenance Report Letter Sent <br />SEPTIC TANKS <br />Material: <br />precast concrete Capacity: <br />1000, 1000 <br />Tank Filter: <br />DRAINFIELD <br />Treatment Area: <br />1008 Soil Boring: <br />yes <br />DF Ht above Wt: <br />3 <br />WELL DATA <br />Setbacks - Well -Tanks: 75 Well -DF: 100 <br />Report in File?: <br />Depth: <br />123 <br />INSPECTION RECORD <br />PUMPOUT RECORD <br />Date <br />Description <br />Date <br />Gallons <br />4/25/83 <br />installation <br />05/18/93 <br />2000 <br />7/13/87 <br />no surfacing -pump tanks <br />08/25/98 <br />2000 <br />9/11/90 <br />no surfacing -pump tanks <br />06/15/00 <br />1000 <br />5/5/94 <br />no surfacing <br />08/20/02 <br />1000 <br />10/21/97 <br />no surfacing <br />04/28/04 <br />2000 <br />6/29100 <br />code system <br />05/16/05 <br />2000 <br />10/02/02 <br />no surfacing <br />4/1/2009 <br />3:49:20 PM <br />