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I <br /> I <br />I <br /> <br />I <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />350 Metro Square Building, Saint Paul, I.linnesota 55101 <br /> 222-8423 <br /> <br /> 1982 Survey of On-Site Disposal Systems <br />General Information <br /> <br />Municipal ity: <br /> <br />1982 Estimated Population: <br /> <br />1982 Estimated Population Utilizing On-Site Disposal Systems; <br /> <br />II. <br /> <br /> Invegt~r_y of On-Site Disposal Systems <br /> <br />A. Numbed-of Systems As of December 31, 1981: <br /> <br />B. Number of systems As of December 31, 1982: <br /> <br />C. Any Systems l'!ithin the Municip~t-ities.'Serving]In~titutions,lCgmme~c~al <br /> Establishments and/or Industries: <br /> If so, Please List Name, Location, Size and Type of On-Site System: <br /> <br />III. <br /> <br />IV. <br /> <br />On-Site S~/stem Problems <br /> <br />ao <br /> <br />Number of Systems Inspected During 1982: <br />1. New Systems: <br />2. Existing Systems: <br /> <br />Number of Systems With Known Problems*- <br />1. Most Common Problem: <br />2. Other Problems: <br /> <br />C. Number of Systems Replaced/Rehabilitated in 1982: <br /> <br />~ep_t~_~_~.isposal <br /> <br />A. Number of Systems Pumped' in 1982: <br /> <br />B. Total Amount (gallons) of Septage Pumped' <br /> <br />C. location of Septage Disposal Site(s)*: <br /> <br />*Attach Map Showing Locations. <br /> <br /> <br />