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SEPTIC SYSTEM INVENTORY
Site Address: 420 Brown Rd S PID 03-117-23-42-0010
Owner Name: John Greely &Annette Bruscino
Owner Address: 420 Brown Rd S Long Lake MN 55356-
BuildingType: residence Installer: Hayes Excavating
Date of Permit: 5/2/00
System Type: mound BR's Designed for 6
In Musa?: No Shoreland?:
SEPTIC TANKS:
Material: precast concrete Capacity: 1300,1300,1500 Tank Filter: yes
DRAINFIELD:
Treatment Area: 39*104 Soil Boring: yes DF Ht above Wt: 3
WELL DATA
Setbacks -Well Tanks: 50 Well DF: 50 Report In File: Depth:
INSPECTION RECORDS PUMPOUT RECORDS
Date Notes Date GallonsOfLiquid
1/20/2012 Point of sale septic inspection passed valid until 1-20-15 j 5/13/2014 2250
8/1/2006 OK I 4/18/2012 2250
6/23/2004 OK �1 3/15/2006 4000
6/20/2002 no surfacing,pump tanks I 7/31/2003 2500
9/21/2000 no surfacing
8/15/2000 final ok
5/9/2000 replacement installation
SEPTIC SYSTEM INVENTORY
Site Address: 420 Brown Rd S PID 03-117-23-42-0010
Owner Name: Karl & Kacey Rasmussen
Owner Address: 420 Brown Rd S Long Lake MN 55356-
BuildingTvpe: residence Installer: Hayes Excavating
Date of Permit: 5/2/00
System Type: mound BR's Designed for 6
In Musa?: No Shoreland?:
SEPTIC TANKS:
Material: precast concrete Capacity: 1300,1300,1500 Tank Filter: yes
DRAINFIELD:
Treatment Area: 39"104 Soil Boring: yes DF Ht above Wt: 3
WELL DATA
Setbacks -Well Tanks: 50 Well DF: 50 Report In File: Depth:
INSPECTION RECORDS PUMPOUT RECORDS
Date Notes j Date GallonsOfLiquid
1/20/2012 Point of sale septic inspection passed valid until 1-20-15 3/15/2006 4000
8/1/2006 OK 7/31/2003 2500
6/23/2004 OK
6/20/2002 no surfacing,pump tanks
9/21/2000 no surfacing
8/15/2000 final ok
5/9/2000 replacement installation
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