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On the North Shore o <br /> f <br /> Lake Minnetonkcr <br /> ON-SITE SEWAGE TREATMENT <br /> INSPECTION REPORT POST OFFICE BOX 66 <br /> 1335 S. Brown Rd. <br /> � Crystal Bay,MN 55323 <br /> • - • � 473-7357 <br /> OWNER ��� �_I��'r7�C� ADDRESS I� / � ���. ��' G�g�� <br /> � <br /> PHONE PERMIT NO'S. DATES <br /> City Ordinance No. 270 requires that each on-site sewage treatment system in Orono lx 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 /> ❑ � Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears I <br /> to be operating properly. <br /> � � Does not meet current city standards in some respects relating to design, construction, or location. Appears <br /> to be operating properly. ? <br /> ❑ � Does not meet current city standards in many respects relating to design, construction, or location. Appears <br /> to be operating adequately. <br /> ❑ � 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. 'i <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: I <br /> Limiting Site Factors Potential for System Failure Site Capabilities for <br /> ❑Slope (depends on soil types,water Future Expansion <br /> ❑Soil table,and system condition) � Adequate <br /> ❑High watertable ❑ Low �Fair � <br /> ❑Lot size �Medium ? ❑ Poor <br /> ��Lake,wetland,or stream ❑High ❑ Inadequate <br /> ❑Drainage ❑System is causing visible , <br /> surface discharge. <br /> COMMENTS:�Nc9 /NFD �or�lv C.�i� ?»/421�/�� , . . .��SJa� r2�s yo+/i �P�rs'p� I <br /> .f�� �-� �-�,�s Pr���''� —�°� �D�,� D� c�/-�-,~ �S�z€� 7�! � <br /> � �I <br /> �0 - /7 - �� <br /> Date of Inspection Septic System I�f or I <br /> This report must be kept on the premises with system location and pumping records. <br /> WHITE COPY/Inspector's File GOLD COPY/Homeowner �i <br />