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On the Nortb Sbore of <br />Lake Afinnetonka <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 V1 C- TDP— ST'E/N ADDRESS 9'0(9 /l/ XD, �. <br />5Z3r t, -,-I -7,* <br />PHONE PERMIT NO'S. 3S/// DATES ly-Ad -7Z <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 />X, <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 REQI.,!QED: <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 <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />Soil <br />igh water table <br />[]Lot size <br />❑Lake, wetland, or stream <br />❑0rainage <br />c- <br />as soon as possible. 25�fd!i4an a requires that <br />Potential for System Failure <br />(depends on soil types, water <br />table and system condition) <br />Low <br />[]Medium <br />❑ High <br />[]System is causing visible <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />surface discharge. <br />COMMENTS: <:-4elt— OCA -77 A_J <br />7 <br />Date of Inspection Septic System Ins <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 />