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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the• .Forth Shore of <br />lake .11inrtetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 55323 <br />Ilk 4737357 <br />OWNER -/TYV 9_�]?StW ADDRESS. 3�--P��YS/L' KD. <br />PHONE _ PERMIT NO'S.DATES // 2 <br />City Ordinance No. 210 requires that each onsite sewage treatment system in Orono be inspected on a regular basis. <br />The on-site sewage treatment system at the above ani cress 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 />t2 Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />to be operating properly. <br />❑ Do's 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 er Jangerrng 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 p?rmit <br />before work is started. <br />WORK REQUIRED <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 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 />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />low <br />odium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />(% Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS: S 7�CfEM ES<=-rjrIgLL V Mt ' CODEae N,4I FZF P2Ew7-S <br />057 ,KCWPT -r/l4z -TAA1/�s AA C �L/Gi/TLy uNDC-�'s/ZC� 6Y 'TODiIYS s 1WDA9VpS, <br />A S 1 S T HE A) t Lt Z)isA/N Fl eZD . Vhf For— CN TN jet Q(R' rj I/& /t.1 )CC .,yo //llf <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 />