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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNERO/L'i�I�D <br />PHONE V 3-k!60 PERMIT NO'S <br />On the Nortb Sbore of <br />Lake .Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />ADDRESS _ ��S �. me / D <br />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 wvvgp treatment system at the above address has been inspected and appears to fall into the category checked <br />Wow: <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 />112 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 />xlE�4 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 REQUIRED: <A t $,.i 4c DisC44&E � <br />❑ Septic tanks must be pumped within 48 hours. <br />Drainfield must be repaired or replaced within 90 days. <br />Inspection riser (4" diem. pipe) must be installed in each tank. <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 />❑ Soi I <br />High water table <br />L <br />ot size <br />Lake, wetland, or stream <br />►ai n age <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 />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />0 Adequate <br />❑ Fair <br />❑ Poor <br />)K1 n adequate <br />COMMENTS: F�'F A_-C-4Cf' /1,1 � Lt 1' - TO - 1),4 7Z-:- 0,t) e11447 5 N!2 ' ,,L /iy[: <br />e- LA 7 Ta / s'JC - l -ti i Tt/ 4c -f ,r+i�-U :'c� ce � /uE�jG�f, o.l�4 <br />Date of Inspection 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 / Homeowner <br />