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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />CITY POST OFFICE BOX 66 <br />OF 1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 55323 <br />ilk 473-7357 <br />OWNER ,�EiN 1Ltr'F's'� ADDRESS 9-S— 6k24V�, <br />PHONE PERMIT NO'S. /,0,P3 n DA -ES il -- - 5-2, <br />City Ordinance No. 210 reauires that each on site sewage treatment system in Orono be nspected 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, construcJon, • nd location. Appears <br />to he 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 />F]Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />1:14 Does not meet current city standards of design, construction or location, is being overused, or is fai' ng to <br />properly treat and dispose of the current input and is therefore endanger ing 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 systerr.. Soil testing may be re- <br />quired. In all rases 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 />ElDrainfield must be repaired or replaced within 90 days. <br />FInspection riser (4" diam, pipe) must be installed in each tank. <br />IRf Tank inspection indicates maintenance pumpout is needed as soon as possible. Ciry ordinance requires that <br />tanks be pumped out every three years. / ST-.{ -Z ��j lS UK <br />�/ 1��7�,� <br />7-ArNk l <br />SITE CHARACTERIST;CS: <br />OA&y NOT F14NcnCW0/ uU, <br />Limiting Site Factors <br />Potential for System Failure <br />❑ Slope <br />(depends on soil types, water <br />❑Soil <br />table, and system condition) <br />E] High water table <br />Low <br />❑ Lot size <br />❑ Medium <br />Lake, wetland, or stream <br />❑ High <br />❑Drainage <br />❑ System is causing visible <br />surface discharge. <br />COMMENTS: H 9 jZA-FU <br />l_�L�TIc lnw ,n I -r i; , A 1 - <br />Date of Inspection Septic System <br />This report must be kept or, the premises with system le:ation and pumping records. <br />WHITE COPY / Inspector's File COLD COPY / Homeowner <br />S LA -F Aer- prir 7LA-) <br />Site Capabilities for <br />Future Expansion <br />Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />HFD. <br />