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SEPTIC SYSTEM INVENTOR Y <br /> Address: 2995 Jamestown Rd. PID: 28-118-23 31 0004 <br /> Building Type residence BRs Install'd for: 4 In Musa: Yes <br /> Permit#: 5600 Date of Permit: 6/12/79 Installer: Arvid Goepfert <br /> System Type: standard trench Performance: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 9 DF condition: 8 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: precast concrete Capacity: 1000, 1000 <br /> Setback to Bldg: 12 Cesspool: no <br /> DRAINFIELD <br /> Length of Lines: 270 # Lines: 5 Trench Width: 3 <br /> Treatment Area: 810 Type of Filter: rock Soil Boring: yes <br /> Tile Size: 4 Under Tile: 12 Perc Rate: 15 <br /> Setback DF-Bldg: 30 DF Ht above Wt: 0 <br /> Soil Type: silty clay loam Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: 80 Well-DF: 100 Report in File yes <br /> Pump Type: subm. Depth: 290 Diameter: 5 Method: drilled <br /> INSPECTION RECORD PUMPO UT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 7/10/79 installation 1 5/1/85 2000 <br /> 7/21/86 no surfacing 1 12/1/88 2000 <br /> 6/18/88 no surfacing 1 9/1/91 2000 <br /> 9/19/91 slight surfacing-high liquid levels,pump 1 9/27/96 2000 <br /> 5/8/92 DF moist,no surfacing 1 8/13/97 3000 <br /> 9/29/93 non-conforming-repairby 12/31/95 3 t.�,,,��,_�� <br /> 7/15/96 non-conforming-repair by 12/31/96 3 <br /> 9/17/99 non-conforming-repair by 12/31/06 3 <br /> 8/13/O1 non-compliant,replace by 12/31/2007 3 <br /> 8/20/03 non-compliant,replace by 12/31/2007 non-compliant <br />�- �i�'��� v �C �1 y �. '► <br /> � S � � �r. <br /> 1 �f � <br />