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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER_ JE,EA[L) JC)iyE ADDRESS__�� <br />On the North Shore of <br />Lake Afinnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />oky� 9-9-7/ <br />PHONE PERMIT NO'S. _-Y-51 DATES /Z <br />City Ordinance No. 210 requires that each :)n -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 />XZ Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />to be operating properly. <br />F-1Does not meet current city stand<•rds in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />D 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 de:•ign and site plan must be submitted for review. Your contractor must obtain a permit <br />before work is started. <br />WORK REQUIRED: <br />0 Septic tanks must be pumped w thin 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 th •ee years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />C] Soil <br />❑High water table <br />❑ Lot size <br />*Q"ke, wetland, or stream <br />---- <br />❑Drainage` <br />COMMENTS. <br />r <br />to of Inspection <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />❑ w <br />eMedium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />ctor <br />This report must be <br />kept on the <br />premises <br />with system location and <br />pumping records. <br />WHITE COPY <br />/ Inspector's <br />File <br />GOLD COPY / <br />Homeowner <br />Site Capabilities for <br />Fu,ure Expansion <br />❑ Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />