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On the North Shore of <br /> Lake Minnetonka <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 C>>G�I7►l: � W• Gl} F� ADDRESS -7b�o(� ��fSI�� <br /> PHONE PERMIT NO'S. `'"— DATES <br /> City Ordinance No. 210 requires that eacF�`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 focation. 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. <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 /> ❑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: �ta�1�0� NC3T LisC,W`t'G '�'"f3��LS� 5 i�i�D�s��1 'b� P�iv'►'►��%� � r <br /> �— <br /> 7f-t�4 �-t�AJ�►'�'�- �.E�U srv Tr� c.�5r 3 y�:wR_S ., �a�;r�s �c"1�0 <br /> ��i:'I C/ t�l+ AtV i� (3•1 �f455 ��4 F�=-LL S �■11� CO�t3S i riaG !�R 1�1 n,1�-��Z,'d 1t� C-iL.Gy v�. <br /> J <br /> �� - �- �`� <br /> Date of Inspection S tic System Inspector <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 />