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SEPTIC SYSTEM INVENTOR Y <br /> : � - <br /> Address: 1000 Heritage Ln. PID: 10-117-23 14 0005 <br /> Building Type: residence BRs Install'd for: 4 In Musa: Yes <br /> Permit#: 3890 Date of Permit: 4/9/74 Installer: Widmer Bros. <br /> System 1�ype: standard trench Experimental: no Appliances: lndry,dshw, <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 5 DF condition: 11 Failure Pot: high <br /> SEPTIC TANKS <br /> Material: concrete block Capacity: 1000, 500 <br /> Setback to Bldg: 11 Cesspool: no <br /> DRAINFIELD <br /> Length of Lines: 400 # Lines: 5 Trench Width: 2 <br /> Treatment Area: 800 Type of Filter: rock Soil Boring: yes <br /> Tile Size: 4 Under Tile: Perc Rate: <br /> Setback DF-Bldg: 10 DF Ht above Wt: 0.5 <br /> Soil Type: clay loam, gravel Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 50 Well-DF: 75 Report in File yes <br /> Pump Type: subm. Depth: 172 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPO UT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 10/3/78 compliance s 10/1/87 2000 <br /> �/9/83 house vacant-noted location of rock/tile 2 10/24/97 2000 <br /> 6/18/84 no surfacing 2 <br /> 9/24/87 some wet areas,not critical 2 <br /> 7/10/90 DF moist,not seriou(drainage) 2 <br /> 10/1/92 no surfacing-pump tanks 2 <br /> 7/14/93 non-conforming-separation 6"-repair by 1 3 <br /> 6/9/94 non-conforming-no surfacing 3 <br /> 4/13/98 non-compliant-repair by 12/31/2001 3 <br /> 7/26/00 connect to sewer by 12/31/2007 (./ 3 <br /> (Cr..t�CL�CU �'fC SCwc' 1�.—IS _ c'�1 O <br />