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•� SEPTIC SYSTEM INVENTOR Y <br /> Address: 1895 Fox Ridge Rd. PID: 03-117-23 13 0007 <br /> Building Typ residence #BRs/GPD: 5 #Systems 1 Units Billed 1 <br /> Permit#: 1486, 2417,Date of Permit: 11/28/88, 5/1 Installer: Sullivan, Widmer Bros., <br /> System Type standard trench Experimental: no Appliances lndry,dshw,dspl <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 9 DF condition: 11 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: concrete Capacity: 1000, 1000 <br /> Setback to Bldg: 15 Cesspool: unknown <br /> DRAINFIELD <br /> Length of Lines # Lines: Trench Width: <br /> Treatment Area: Type of Filter Soil Boring: yes <br /> Tile Size: Under Tile Perc Rate: <br /> Setback DF-Bldg: DF Ht above Wt: 0 <br /> Soil Type: Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 50 Well-DF: Report in File yes <br /> Pump Type: subm. Depth: 260 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 5/24/78 dye tested-no failure s sum 81 <br /> 6/16/82 no surfacing 2 3/10/88 1500 <br /> 6/23/87 no surfacing 2 12/1/88 2000 <br /> 12/1/88 new 2nd tank installed 2 4/22/92 1500 <br /> 8/16/90 no surfacing 2 5/18/94 1500 <br /> 7/23/92 DF saturated(east end) 2 3/15/99 500 <br /> 4/18/94 no surfacing 2 <br /> 11/3/98 non-compliant-repair by 12/31/2008 3 <br /> � �� ( <br /> c�v� ✓t�G-�Pc�l � �P c.��� �G !l �b . <br /> _ �l�c C ---� �1 � -��-z i �-- � le . <br /> �� <br />