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On the North Shore of <br />ON-SITE SEWAGE TREATMENT Lake Minnetonka <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER kas�T / . y ADDRESS A/ 5 9A xs,,Dec JCD <br />PHONE <br />PERMIT NO'S. �7 W L, DATES 4"23%(o <br />Ys rils� <br />City Ordinance No. 210 renuires that each on-site sewage treatment system in Orono be inspected on a regular basis. <br />The on-site sewage trestr*,^ ,ystem at the above address has been inspected and appears to fall into the category checked <br />below: <br />01 ? 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 st. ,idards 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 />❑ 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: <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. 64� <br />CTank inspection indicates maia=ance pumpout is needed as soon as possible. <br />tanks be pum ut every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />Slope <br />o 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 />ALow <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />City ordinance requires that <br />COMMENTS:1"LAP . r ArrE is L. ., ., - <br />1 � <br />Date of Inspection Septic System s for <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 />9 Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />