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On the North Shore of <br /> Lake Minnetonka <br /> ON-SITE SEWAGE TREATMENT <br /> INSPECTION REPORT CITY POST OFFICE BOX 66 <br /> 1335 S. Brown Rd. <br /> OF Crystal Bay, MN 55323 <br /> O R O N O 473-7357 <br /> OWNER ,(/i1' 1-c U1 e//u(, ADDRESS 2SZDCD A . <br /> PHONE PERMIT NO'S. 7)1/7 DATES <br /> City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. <br /> The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked <br /> below: <br /> N Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears <br /> to be operating properly. <br /> • 2 Does not meet current city standards in some respects relating to design, construction, or location. Appears <br /> to be operating properly. <br /> ❑ 3 Does not meet current city standards in many respects relating to design, construction, or location. Appears <br /> to be operating adequately. <br /> ❑ 4 Does not meet current city standards of design, construction or location, is being overused, or is failing to <br /> properly treat and dispose of the current input and is therefore endangering a water supply, is a source of <br /> pollution to surface or groundwaters, is creating a safety hazard,or is otherwise creating a public nuisance. <br /> Please contact the inspector to discuss requirements for repairs to your system. Soil testing may be re- <br /> quired. In all cases a design and site plan must be submitted for review. Your contractor must obtain a permit <br /> before work is started. <br /> WORK REQUIRED: <br /> ❑ Septic tanks must be pumped within 48 hours. <br /> • Drainfield must be repaired or replaced within 90 days. <br /> ❑ Inspection riser (4"diam. pipe) must be installed in each tank. <br /> ❑ Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that <br /> tanks be pumped out every three years. <br /> SITE CHARACTERISTICS: <br /> Limiting Site Factors Potential for System Failure Site Capabilities for <br /> ❑Slope (depends on soil types,water Future Expansion <br /> 0 Soil table,and system condition) Adequate <br /> ' 1 igh water table ,Low 0 Fair <br /> ❑Lot size ❑Medium ❑ Poor <br /> ❑Lake,wetland,or stream 0 High ❑ Inadequate <br /> Drainage 0 System is causing visible <br /> surface discharge. <br /> COMMENTS: <br /> Z7— ,ar)14;1/2---- <br /> Date of Inspection Septic System <br /> This report must be kept on the premises with system location and pumping records. <br /> WHITE COPY/ Inspector's File GOLD COPY/Homeowner <br />