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SEPTIC SYSTEM INVENTORY <br /> Site Address: 3155 Jamestown Rd PID 28-118-23-33-0012 <br /> Owner Name: Kenneth &Jennifer DeCubellis <br /> Owner Address: 3155 Jamestown Rd Long Lake MN 55356- <br /> BuildingTvpe: residence Installer: E. J. Peterson <br /> Date of Permit: 9/04/03 <br /> System Type: performance trench BR's Designed for 5 <br /> In Musa?: Yes Shoreland?: <br /> SEPTIC TANKS: <br /> Material: precast concrete Capacity: 1500 combo,multi-flo,1 Tank Filter: <br /> DRAINFIELD: <br /> Treatment Area: 1002 Soil Boring: yes DF Ht above Wt: 1 <br /> WELL DATA <br /> Setbacks -Well Tanks: 70 Well DF: 90 Report In File: yes Depth: 298 <br /> INSPECTION RECORDS PUMPOUT RECORDS <br /> Date Notes Date GallonsOfLiquid I <br /> 5/24/2005 OK 9/15/2017 1500 <br /> 9/30/2003 installation-performance system 8/19/2010 2000 <br /> 8/13/2001 non-compliant,replace by 12/31/2007 12/4/2008 2000 <br /> 9/22/1999 non-conforming-DF dry,repair by 12/31/03 3/2/200620001 <br /> i <br /> 5/28/1996 non-conforming-DF dry,repair by 12/31/96 5/20/2005 2000! <br /> 8/31/1995 non-conforming-DF surfacing-pump tanks 1/21/2004 2500 <br /> 10/1/1993 non-conforming-DF surfacing 7/6/2001 2000' <br /> 2/20/1992 tank replacement 5/2/2000 2000 <br /> 9/19/1991 no surfacing 10/2/1995 2000 <br /> 6/20/1988 no surfacing-pump tanks 8/1/1991 2000 <br /> i <br /> 7/27/1984 no surfacing-pump tanks 9/1/1987 2000 <br /> 6/29/1983 no surfacing-pump tanks 9/1/1987 2000; <br /> 7/24/1979 no surfacing-pump tanks <br /> 7/24/1979 no surfacing-pump tanks <br />