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SEPTIC SYSTEM INVENTORY <br /> Site Address: 2780 Countryside Dr W PID 04-117-23-12-0010 <br /> Owner Name: Kirsten Gorsuch <br /> Owner Address: 2780 Countryside Dr W Long Lake MN 55356- <br /> BuildingType: residence Installer: Clover Hill Co. <br /> Date of Permit: 9/11/95 <br /> System Type: mound BR's Designed for 5 <br /> In Musa?: No Shoreland?: No <br /> SEPTIC TANKS: <br /> Material: precast concrete Capacity: 1300, 1300,1300 Tank Filter: <br /> DRAINFIELD: <br /> Treatment Area: 98*37 Soil Boring: yes DF Ht above Wt: 3 <br /> WELL DATA <br /> Setbacks -Well Tanks: Well DF: Report In File: Depth: <br /> INSPECTION RECORDS PUMPOUT RECORDS <br /> Date Notes Date GallonsOfliquid <br /> 8/1/2007 8/5/2014 2500 <br /> 8/1/2005 4/25/2012 3750 <br /> 7/9/2003 no surfacing,pump tanks 2004 9/14/2009 0 <br /> 6/11/2001 no surfacing, pump tanks 6/15/2005 <br /> 4/9/1999 no surfacing-pump tanks 6/1/2004 3000 <br /> 12/15/1995 installation 5/4/2000 2000 <br />