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� SEPTIC SYSTEM INVENTORY <br /> s�te nddress: 1720 Shoreline Dr PID: <br /> Owner Name: Irwin L.Jacobs <br /> Owner Address: 1700 Shoreline Dr Wayzata MN 55391 <br /> Building Type: residence Instailer: <br /> Date of Permit: 11/12/81 Jerry Johnson <br /> System Type: standard trench BRs Designed for: 3 <br /> In Musa?: Yes Shoreland?: <br /> SEPTIC COMPLIANCE INSPECTION <br /> Report Date: <br /> Compliant Expires: <br /> Non-Compiiant?: Report in Street File?: <br /> SPECIAL NOTES Site Address: 1720 Shoreline Dr <br /> _T NOTASEPARATEADDRESS � � ____ ___.m.�__�.._._._,�_____�___..__.______ ,.._ <br /> 03/16/09 2009 Septic Maintenance Report Letter Sent <br /> SEPTIC TANKS <br /> Materiai: precast concrete Capacity: 1000, 1000 Tank Filter: <br /> DRAINFIELD <br /> Treatment Area: 900 Soil Boring: yes DF Ht above Wt: 3 <br /> WELL DATA <br /> Setbacks-Well-Tanks: 100 Well-DF: 120 Report in File?: Depth: <br /> INSPECTION RECORD PUMPOUT RECORD <br /> Date Descriqtion Date Gallons <br /> 11/16/81 replacement installation 09/24/90 1000 <br /> 8/4/87 no surfacing 09/10/92 1000 <br /> 9/10/90 no surfacing-pump tanks <br /> 5/4/94 conforming-pump tanks <br /> 10/20/97 no surfacing-pump tanks <br /> 6/27/00 no surfacing-pump tanks <br /> 10/02/02 no surFacing <br /> 12/01/06 <br /> 4/1/2009 <br /> 3:49:20 PM <br />