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SEPTIC SYSTEM INVENTOR Y <br /> Address: 300 Sixth Ave. N. PID: 25-118-23 41 0001 <br /> Building Type residence BRs Install'd for: 5 In Musa: No <br /> Permit#: 770 Date of Permit: 4/13/59 Installer: Maple Grove Const. <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: concrete block Capacity: 750, 500 �, <br /> Setback to Bldg: Cesspool: unknown � V <br /> DRAINFIELD � <br /> Length of Lines: 200 # Lines: Trench Width: 2 ' <br /> Treatment Area: 400 Type of Filter: Soil Boring: yes <br /> . Tile Size: Under Tile: Perc Rate: <br /> Setback DF-Bldg: DF Ht above Wt: 0.4 <br /> Soil Type: Limitations: water table <br /> WELL DATA <br /> Setbacks - Well-Tanks: Well-DF: Report in File yes <br /> Pump Type: subm. Depth: 293 Diameter: 6 Method: drilled <br /> INSPECTION RECORD PUMPOUT RECORD <br /> DA TE DESCRIPTION COMPLIANCE DA TE GALLONS <br /> 6/4/80 no surfacing 2 6/23/80 1500 <br /> 8/12/86 no surfacing 2 8/27/86 1400 <br /> 7/28/88 no surfacing 2 10/27/98 1500 <br /> 9/12/90 no surfacing-lst tank baffle missing,pum2 <br /> 5/5/95 non-conforming-repair by 12/31/97 3 6/15/02 1500 <br /> 9/14/98 non-compliant-repair by 12/31/2002 3 � _�7,p�.i <br /> 8/23/99 no surfacing/repair by 12/31/2002 3 <br /> 10/07/02 non-compliant,replace by 12/31/2007 non-compliant <br /> �O ��v�� .� � � <br /> �� _�� �- << <br /> 1 , <br /> - � S� � ,,,,� <br /> I <br /> � � .�- <br /> �� �� <br /> ,� �� <br /> � � r � <br /> ri' { <br /> ! � <br />