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SEPTIC SYSTEM INVENTORY <br /> Address: 825 Willow Dr. S. PID: 10-117-23 22 0001 <br /> Building Typ residence #BRs/GPD: 2 #Systems 1 Units Billed 1 <br /> Permit#: 6442 Date of Permit: 9/1/81 Installer: Al Bragelman <br /> System Type standard trench Experimental: no Appliances <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 6 DF condition: 11 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: concrete block Capacity: 600, 600 <br /> Setback to Bldg: 13 Cesspool: <br /> DRAINFIELD <br /> Length of Lines 75 # Lines: 3 Trench Width: 3.5 <br /> Treatment Area: 200 Type of Filter rock Soil Boring: yes <br /> Tile Size: 4 Under Tile Perc Rate: <br /> Setback DF-Bldg: 30 DF Ht above Wt: 0.5 <br /> Soil Type: loam, clay loam Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 40 Well-DF: 50 Report in File yes <br /> Pump Type: subm. Depth: 128 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 8/18/81 DF surfacing 4 12/1/78 1200 <br /> 9/2/81 added DF (200 sf) 2 7/28/81 1000 <br /> 9/12/86 no surfacing-replace tank inlet baffle 2 10/1/85 1500 <br /> 8/3/88 no surfacing 2 8/19/87 800 <br /> 10/23/91 no surfacing 2 6/20/96 800 <br /> 11/2/93 non-conforming-repair by 12/31/95 3 <br /> 10/30/95 non-conforming-repair by 12/31/96 3 <br /> 8/26/99 non-conforming-repair asap(no surfacing) 3 <br /> 'loot c���iedteJ tv =ewcr <br />