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SEPTIC SYSTEM INVENTORY <br />Site Address: 4700 West Branch Rd <br />Owner Name: Ronald Peterson <br />Owner Address: 4700 West Branch Rd Mound MN 55364 - <br />PID 06-117-23-33-0004 <br />BuildingTvpe: residence Installer: Hayes & Sons <br />Date of Permit: 8/7/06 <br />System Type: Mound BR's Designed for 3 <br />In Musa?: No Shoreland?: <br />SEPTIC TANKS: <br />Material: precast concrete Capacity: 1000, 1000, 1000 Darwi Tank Filter: y <br />DRAINFIELD: <br />Treatment Area: 380 Soil Boring: yes DF Ht above Wt: 3 <br />WELL DATA <br />Setbacks -Well Tanks: 75+ Well DF: 100+ Report In File: Depth: <br />_ INbVtU I IUN KtUUKUJ <br />Date Notes <br />8/7/2006 Installation mound and tanks <br />10/17/2002 non-compliant,replace by 12/31/2010 <br />6/19/2000 non-compliant, repair by 12/31/2010, DF Dry, pump tanks <br />7/21/1997 non-complaint-slightsurfacingl2/31/2007 <br />9/1/1995 slight surfacing -pump tanks <br />8/3/1993 DF surfacing -pump tanks <br />10/7/1991 no surfacing -pump tanks <br />8/20/1990 no surfacing -pump tanks <br />7/21/1987 no surfacing <br />7/3/1984 no surfacing <br />10/4/1982irr.no surfacing <br />10/4/1982 no surfacing <br />PUMPUUIKECUKUS <br />Date GallonsOfLiquid <br />7/9/2017 <br />2100 <br />8/26/2013 <br />2100 <br />9/2/2010 <br />2000 <br />8/7/2006 <br />2000 <br />9/20/1993 <br />2000 <br />1/1/1992 <br />2000 <br />10/1/1991;' <br />2000 <br />8/13/1979 <br />2000 <br />8/30/1978 <br />2000 <br />8/30/1978 <br />2000 <br />