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pl-2011-00266_0001.tif X S & S Pumping Service L.L.C. 351 Grant St. PII`M PI NG Blair, NE 68008 Phone: 426 -4671 Fax: 426 -5165 SEPTIC SYSTEM INSPECTION Date: 7/7/2011 Name: Country Bible Church Address: 13121 CR 16 Blair, NE 68008 SEPTIC TANK: Date Last Pumped: 7/6/2011 Size: 1500 (Existing) Construction materials: Concrete 1000 (New) Setback Distances: Well(50'): good Location: 170 Feet south of building Foundation(15') good Property Line(10') good Water Line(10') good Condition of Tank: New Surface Water(50') good ABSORBTION FIELD: Type: Infiltrator with rubber ships Number of laterals: 1 Distribution Box: none Setback Distances: Well(100') good Size- Length: 200 feet X 5 feet Foundation(30') good Property Line(10') good Location: South of tank running east and west Water Line(25') good Surface Water(50') good Surface Seepage ?: None Condition Absorbtion Field: Good Comments: This addition to the septic system is being installed by Henton Trenching of Blair. This system meets all state and local codes for septic systems. Inspected By: Jim Sandvold NDEQ #C1020