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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the .Vortb Sbore of <br />Luke Afinsetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER vR SOH f'f'ff-- _--- ADDRESS &Laii2a /SL,40JD <br />F i 1�. 221 117 — 2 41. 001C) <br />PHONE PERMIT NO'S SS07 DATES <br />City Ordinance No. 210 requires that each ons to sewage treatment system in Orono be inspected on a regular basis. <br />The onsite sewage treatment system at the above address has been inspected and appears to fall into the category checked <br />below <br />%01 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 respec s relating to design, construction, or location Appears <br />to be operating properly. <br />D Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately <br />D Does not meet current city standards of design, construction or location, is being overused, or is fading 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 ^ries 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 />0 Septic tanks must be pumped within 48 hours. <br />ElDrainfield must be repaired or replaced within 90 days <br />❑ Inspection riser (4" diam. pipel must tie installed in each tank <br />OTank inspection indicates maintenance poiT,pout 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 <br />3 Slope <br />❑ Soil <br />❑High water table <br />❑ Lot size <br />Lake, wetland, or stream <br />❑ Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />Ig"Low <br />//////"❑������Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />• . i �yL�II !/� 1 <br />• s A <br />X21- 82 -- <br />Date of Inspection <br />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 i Homeowner <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />❑ Poor <br />❑ Inadequ.te <br />