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SEPTIC COMPLIANCE INSPECTION <br />Report Date: <br />Compliant Expires: <br />Non -Compliant?: Report in Street File?: <br />SPECIAL NOTES Site Address: 1700 Shoreline Dr <br />03/16/09 2009 Septic Maintenance Report Letter Sent <br />SEPTIC TANKS <br />Material: precast concrete Capacity: 1000, 800 Tank Filter: <br />DRAINFIELD <br />Treatment Area: 210 Soil Boring: no DF Ht above Wt: 3 <br />WELL DATA <br />Setbacks - Well -Tanks: 50 Well -DF: 75 Report in File?: Depth: 230 <br />SEPTIC <br />SYSTEM INVENTORY <br />Site Address: <br />1700 Shoreline Dr <br />PID: <br />Owner Name: <br />Irwin L. Jacobs <br />9/10/90 <br />Owner Address: <br />1700 Shoreline Dr <br />Wayzata MN 55391 <br />Building Type: <br />res./guest wing <br />Installer: <br />Date of Permit: <br />11/13/86 <br />Coppin Plbg. <br />System Type: <br />standard trench <br />BRs Designed for: <br />In Musa?: <br />Yes <br />Shoreland?: <br />SEPTIC COMPLIANCE INSPECTION <br />Report Date: <br />Compliant Expires: <br />Non -Compliant?: Report in Street File?: <br />SPECIAL NOTES Site Address: 1700 Shoreline Dr <br />03/16/09 2009 Septic Maintenance Report Letter Sent <br />SEPTIC TANKS <br />Material: precast concrete Capacity: 1000, 800 Tank Filter: <br />DRAINFIELD <br />Treatment Area: 210 Soil Boring: no DF Ht above Wt: 3 <br />WELL DATA <br />Setbacks - Well -Tanks: 50 Well -DF: 75 Report in File?: Depth: 230 <br />4/1/2009 <br />3:49:20 PM <br />PUMPOUT RECORD <br />INSPECTION RECORD <br />Date <br />Description <br />11/13/86 <br />addition to main residence -installation <br />8/4/87 <br />no surfacing <br />9/10/90 <br />no surfacing <br />5/4/94 <br />no surfacing <br />10/20/97 <br />no surfacing <br />6/27/00 <br />no surfacing <br />10/02/02 <br />no surfacing <br />12/01/06 <br />Okay <br />4/1/2009 <br />3:49:20 PM <br />PUMPOUT RECORD <br />Date <br />Gallons <br />9/10/92 <br />1000 <br />6/30/95 <br />800 <br />7/24/95 <br />500 <br />04/02/98 <br />1800 <br />01/06/05 <br />1800 <br />06/09/05 <br />7000 <br />08/21/06 <br />