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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />/11/114VVI <br />S <br />OWNER fL <br />On the .North Sbore of <br />Lake i fimuetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />4737357 <br />.ADDRESS G _!5 _-sA_ kDf l)N jcoo�-� <br />PHONE __� 1�- 22 (b PERMIT NO'S. DATES <br />City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. <br />The onsite sewage aeatment system at the above address has been inspected and appears to fall into the category checked <br />below <br />❑ Meets or exceeds currant city standards in all respects relating to design, construction, and location. Appears <br />to be operating properly. <br />zN�2 Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />to be operating properly. <br />ElDoes not meet current city standards in many respects relating to design, construction, or location. Appeen <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 />El4 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 />F1Inspection riser 14" dram. pipe) must he installed in each tank, OK <br />f-'-1 Tank inspection indicates maintenance pumpout is needed as soon as possible <br />`J tanks be pumped out every three years. <br />SITE Cr"RACTERISTICS. <br />Limm.ng �-re tactors <br />❑ Slope <br />❑ Sod <br />❑High water table <br />C]Lot sire <br />❑Lake, wetland, or stream <br />❑Drainage <br />COMMENTS <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition I <br />Q Low <br />Medium <br />❑ High <br />❑ System is causing v ruble <br />surface discharge. <br />( ,aseX, 4M �ro64►8t E <br />Date of Inspection <br />City ordinance requires that <br />Septic Syste specto. <br />■ This report must be kept on the premises with system location and pumping records <br />WHITE COPY / Inspector's Fila GOLD COPY . Homeowner <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />