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SEPTIC SYSTEM INVENTOR Y <br /> Address: 3085 Jamestown Rd. PID: 28-ll 8-23 33 0007 <br /> Building Type residence BRs Install'd for: 4 In Musa: Yes <br /> Permit#: 6067 Date of Permit: 8/12/80 Installer: Jerry Johnson <br /> System Type: shallow trench Performance: no Tank Filter: <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 6 DF condition: 8 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: precast concrete Capacity: 1000, 1500 <br /> Setback to Bldg: 15 Cesspool: <br /> DRAINFIELD <br /> Length of Lines: 480 # Lines: 4 Trench Width: 3 <br /> Treatment Area: 1400 Type of Filter: rock Soil Boring: yes <br /> Tile Size: 4 Under Tile: 6 Perc Rate: 41 <br /> Setback DF-Bldg: 40 DF Ht above Wt: 17" <br /> Soil Type: loam Limitations: water table <br /> WELL DAT�1 <br /> Setbacks - Well-Tanks: 70 Well-DF: 90 Report in File yes <br /> Pump Type: subm. Depth: 297 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPO UT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 8/25/80 installation 1 10/27/93 1000 �- <br /> 7/17/84 no surfacing 1 8/27/98 2000 <br /> 5/26/88 no surfacing 1 ll/26/02 2000 <br /> 9/19/91 no surfacing-pump tanks 1 <br /> 10/1/93 conforming(testing)-no surfacing 1 <br /> 7/15/96 no surfacing-pump tanks 1 <br /> 9/22/99 non-conforming, repair by 12/31/2006 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 />� 'u���'�S Cr= f�•'�1 Y , I�i:.'w �� i!�.�1�!S :• �, <br /> � � <br /> ' �T �� s� � �� <br />