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On the J„ortb Sbore of <br />Lake Minnetonka <br />ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />/ Crystal Bey, MN 55323 <br />.L yNN G /�l�lCf� 473-7357 <br />OWNER . ADDRESS 3s60 &qjy-f/GiE <br />PHONE PERMIT NO'S. NpJE 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 />to be operating properly. <br />T,% Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />to be operating properly. <br />113Does not meet current city standards in many •espects 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 />04 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 />edK� <br />Septic tanks must be pumped within 48 hours. T <br />Drainfield must be repaired or replaced within 90 days. <br />E <br />IS <br />Inspection riser (4" diem. pipe) must be installed in each tank. Q� <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 <br />❑ Slope <br />❑ Soil <br />❑High water table <br />Lot size <br />Lake, wetland, or stream <br />❑Drainage <br />COMMENTS: <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />❑ Low <br />vmdlMedium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Date of Inspection Septic System In r <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 />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />X Poor <br />❑ Inadequate <br />