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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />('_4 <br />OWNER ADDRESS _ 120 81cc)[,uN /�p, S. <br />ZA5--s- 9 -/3 7/ <br />PHONE PERMIT NO'S. L79;� DATES '7-2-7-7/ <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 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 />Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />,X2 to be operating properly. <br />❑ 02 Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />a 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 />quire,,. 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 />e rw'Ts� <br />Septic tanks must be pumped within 48 hours. }r f D <br />Drainfield must be repaired or replaced within 90 days. 2 X10 T T 'LV <br />Inspection riser (4" diam. pope) must be installed in each tank. IL <br />ank inspection indicates nance pumpout is needed as soon as possible City ordinance requires that <br />tanks be pumped every three years. N NC G Vf-7K -FA40 G •T -U f ►64 Oul fa <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />Slope <br />L] Soil <br />High water table <br />[]Lot size <br />Lake, wetland, w stream <br />[]Dra nage <br />COMMENT <br />$kFFLE S <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />❑ Low <br />VMedium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Date of Inspection Septic Syst4ikr/ <br />This retort must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's F Ile <br />GOLD COPY / Homeowner <br />Site Capabilities for <br />Future Expansion <br />Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />