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" SEPTIC SYSTEM INVENTORY <br /> - . <br /> Address: 1900 Fox Ridge Rd. PID: 03-117-23 13 0009 <br /> Building Typ residence #BRs/GPD: 5 #Systems 1 Units Billed 1 <br /> Permit#: 6775, 1311 Date of Permit: 8/19/82, 10/7/ Installer: Widmer Bros., Widmer <br /> System Type standard trench Experimental: no Appliances lndry,dshw,dspl <br /> SYSTEM CONDITION <br /> Conformity: 3 Tank Condition: 8 DF condition: 11 Failure Pot: medium <br /> SEPTIC TANKS <br /> Material: concrete block Capacity: 1000, 750 <br /> Setback to Bldg: 30 Cesspool: unknown <br /> DRAINFIELD <br /> Length of Lines 400 # Lines: 4 Trench Width: 2-4 <br /> Treatment Area: 1000 Type of Filter rock Soil Boring: yes <br /> Tile Size: 4 Under Tile 12 Perc Rate: <br /> Setback DF-Bldg: 40 DF Ht above Wt: 0.5 <br /> Soil Type: loam Limitations: water table � <br /> WELL DATA <br /> Setbacks - Well-Tanks: 50 Well-DF: 75 Report in File yes <br /> Pump Type: subm. Depth: 205 Diameter: 4 Method: drilled <br /> INSPECTION RECORD PUMPO UT RECORD <br /> DATE DESCRIPTION COMPLIANCE DATE GALLONS <br /> 7/19/78 no surfacing c 11/14/72 <br /> 6/16/82 DF surfacing at end of trenches 4 6/28/91 1500 <br /> 8/23/82 added 600 SF of DF 1 5/20/96 1800 <br /> 7/26/83 noted some seepage, need more fill at end 1 12/17/98 1800 <br /> 8/27/86 no surfacing 1 <br /> 8/15/90 no surfacing-need risers, pump tank 1 <br /> 7/23/92 no surfacing-need risers,pump tanks 1 <br /> 4/18/94 no surfacing-need risers,pump tanks 1 <br /> 7/22/96 non-conforming,repair by 12/31/2006,pu 3 <br /> 11/3/98 non-compliant-repair by 12/31/2006 3 <br /> � �✓1 ec'�(�G! � �r�1�"�2. OYt l 0—�R'--O C� <br /> � ,�lP�s�= �Jl'�ic�� i�� ��'��f ��1�. <br /> �-C'" <br />