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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER _— OC - ^A00l' _ N (A k <br />PHONE <br />On the North Shore of <br />Lake Al imictU ik[i <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />ADDRESS 'T 0 (. -1-Ij <br />PERMIT NO'S. �' ��j 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 />Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears <br />01 to be operating properly. <br />Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />02 to be operating properly.(TAP") <br />Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />3 to be operating adequately. <br />Does not meet current city standards of design, construction or location, is being overused, or is failing to <br />4 properly treat and dispose of the current input and is therefore endangering a water supply,is a source of <br />9 9 <br />pollution to surface or groundwaters, is creating a safety hazard, or is other%riise creating a public nuisance. <br />Please contact the inspect, -)r 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 purn, : ' Aithin 48 hours. <br />❑ Drainfield must be repaired or replaced within 90 days. <br />❑ Inspection riser (4" diam. pipe) must I)e installed in each tank. <br />Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that <br />F1 <br />tanks be pumped o ery three years. <br />J <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />K Soil <br />'High water table <br />❑ Lot size <br />❑ Lake, wetland, or stream <br />NDrainage <br />COMMENTS:__. <br />Date of Inspection <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />❑ Low <br />Medium <br />❑ High <br />❑ System iz, causing visible <br />surface discharge. <br />Septic System 'n <br />for <br />This report mus* be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner <br />Site Capabilities for <br />Future Expa-inion <br />(� <br />Adequate <br />❑ <br />Fair <br />❑ <br />Poor <br />❑ <br />Inadequate <br />