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SEPTIC SYSTEM INVENTORY <br /> Site Address: 2615 Countryside Dr PID 04-117-23-12-0004 <br /> Owner Name: Paul & Mary Tichy <br /> Owner Address: 2615 Countryside Dr Long Lake MN 55356- <br /> BuildingTvpe: residence Installer: Widmer Bros., Ritter Exc. <br /> Date of Permit: 5/8 /87 <br /> System Type: mound BR's Designed for 4 <br /> In Musa?: No Shoreland?: No <br /> SEPTIC TANKS: <br /> Material: precast concrete Capacity: 1000, 1000, 1000 Tank Filter: <br /> DRAINFIELD: <br /> Treatment Area: 75*37 Soil Boring: no DF Ht above Wt: 3 <br /> WELL DATA <br /> Setbacks -Well Tanks: 50 Well DF: 75 Report In File: Depth: 192 <br /> INSPECTION RECORDS PUMPOUT RECORDS _ <br /> Date Notes Date GallonsOfLiquid <br /> 5/1/2006 OK 6/29/2017 2500 <br /> 6/29/2004 OK 5/22/2013 2500 <br /> 4/25/2000 no surfacing, pump tanks 9/3/2010 2500 <br /> 4/30/1996 no surfacing-tanks pumped recently? 2/2/2007 2500 <br /> 5/4/1993 no surfacing-pump tanks 2/2/2007 2500 <br /> 6/21/1991 no surfacing-pump tanks 10/8/2003 1500 <br /> 7/19/1990 no surfacing 3/16/1987 3000 <br /> 8/29/1988 no surfacing 2/20/1987 3000 <br /> 5/1/1987 installation 2/20/1987 3000 <br /> 5/1/1987 installation 2/13/1987 3000 <br />