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� On the North Shore of <br /> Lake�Ylinnetonka <br /> ON-SITE SEWAGE TREATMENT <br /> INSPECTION REPORT POST OFFICE BOX 66 <br /> � <br /> 1335 S. Brown Rd. <br /> � _ � � Crystal Bay, MN 55323 <br /> 473-7357 <br /> OWNER �ED �L��S�N ADDRESS `�`� �.�4YJ/l�F �C�/{-jj <br /> PHONE PERMIT NO'S. ��° %1�0 /S�/�.3 DATES �'zu ���/-3D•�78 <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 /> ❑ � Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears <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. NST�L � CO��� OF <br /> Drainfield must be repaired or replaced within 90 days. ,� � � �� �,�� •r�.�17� pF'�NlN� <br /> ❑ !J� �,,,.� �� �.t � ( . f3i,r,cr< �'n�o <br /> I ection riser (4"diam. pipe) must be installed in each tank. p �n�c � � <br /> � Tank inspection indicates maintenance pumpout is needed as soon as �sible. 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 /> ��Soil table,and system condition) �Adequate <br /> ❑High water table ❑ 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: NC��� : .x /l/07�� -�1�4--Tr4 G�Es�/CL� c�/2 l•�€�/ICL�S /�/�$� ��� <br /> .1��/U//UG QY�� 7tft' D�24/NF/Ez� A��A '- -�'�l/.� �'�OvrL'1 �� �iZ7f'PF`� <br /> uL L .AN Gl/c�E , , , <br /> f� — � --� � � <br /> Date of Inspection Septic System ector <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 />