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SEPTIC SYSTEM INVENTORY <br /> Address: 2025 Webber Hills Rd. PID: 03-117-23 34 0028 <br /> Building Type residence BRs Install'd for: 4 In Musa: Yes <br /> Permit#: 1957 Date of Permit: 9/12/68 Installer: E. J. Peterson <br /> System Type: standard trench Experimental: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 9 DF condition: 11 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: Capacity: 750, 550 <br /> Setback to Bldg: 6 Cesspool: �- <br /> DRAINFIELD <br /> Length of Lines: #Lines: Trench Width: <br /> Treatment Area: 500 Type of Filter: Soil Boring: yes <br /> Tile Size: Under Tile: Perc Rate: <br /> Setback DF-Bldg: DF Ht above Wt: 0.8 <br /> Soil Type: sandy loam fill,clay loam Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 55 Well-DF: 75 Report in File yes <br /> Pump Type: subm. Depth: 230 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 7/5/78 no surfacing s 9/1/88 1500 <br /> 5/31/84 no surfacing 2 10/17/91 1500 <br /> 8/21/86 no surfacing 2 1'130S- S-6° <br /> 7/25/88 no surfacing 2 <br /> 6/27/90 no surfacing-risers not located 2 <br /> 7/14/92 no surfacing 2 <br /> 10/11/94 non-conforming-repair by 12/31/96 3 <br /> 10/28/97 non-compliant-repair by 12/31/2001 3 <br /> 11/04/02 non-compliant,replace by 12/31/2007 non-compliant <br /> fb'�S -04 eontiec-r 13L1 12- 31-o'f <br /> 042 <br /> �- `( SC (AAefs- <br />