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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the \ortb Shore of <br />f al l finnetouka <br />CITY POST OFFICE BOX 66 <br />OF 1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 55323 <br />473-7357 <br />OWNER —J D'''��_ ��+'1ME`7E'FZ ADDRESS _ ALIS 4 f S <br />PHONE PERMIT NO'S. _ ti'Y1 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 bean inspected and appears to fall into the category checked <br />below: <br />❑ Meets or exceeds current city standards it. all respects relating to design, .. istruction, and location. %[.)ooars <br />to be operating properly. <br />❑ Uoes not meet current city s•andards 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 />94 Does not meet current city sta idards 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 groundwater%, 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 />❑ Septic tanks must be pumnetl Nithir, 48 hours. N �r /`pi <br />. <br />my f <br />� Drafield must be repaired or replaced within 90 days. — i ^ — Y.- <br />Inspection riser (4" fiam. pipe) must be instal;ed in each tank. — /F /l F/N. <br />❑ Tank inspection indicatesnance pumpout is needed as soon as possible. City ordinance requires that <br />tanks be pumped o very three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />[]High water table <br />[_j Lot size <br />E] Lake, wetland, or stream <br />Drainage <br />COMMEN FS: <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 />�SyltnDate of Inspection Se <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 />Poor <br />❑ Inadequate <br />