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s <br />ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT ( I 1 V <br />f <br />O R C) N f <br />On the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 56323 <br />473-7357 <br />OWNER <br />PHONE <br />/SOR [L'Hrr^_________ADDRESS rrt^ <br />PERMIT NO’S. I 7^_______DATES 1'2L> S'*, <br />City Ordinance No. 210 requires that each on site sewage treatment system in Orono be inspected on a re{|ular 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 currc it city standards in ail respects relating to design, construction, and location. Appears <br />to be operating properly. <br />0^ ^ Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />4m to be operating properly. <br />□ 4 <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 />n Drainfield must be repaired or replaced within 90 days. <br />I Inspection riser (4*' diam. pipe) must be installed in each tank. <br />Tank inspection indicates maintenance pum'f. out is needed as soon as possible. City ordinance requires that <br />tanks be pumped out every three years.OK, <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />^Slope <br />□ Soil <br />SfHigh water table <br />□ Lot size <br />□ Lake, wetland, or stream <br />"p(6rainaQe <br />Potential for System Failure <br />(depends on soil types, water <br />tabic, arid system condition) <br />jH^L ovv <br />□ Medium <br />□ Hi^ <br />□ System is causing visible <br />Site Capabilities for <br />Future Expansion <br />Q Adequate <br />ja' Pair <br />□ Poor <br />□ Inadequate <br />surface discharge. <br />roMMFMT*; aYCu/^^A->T~ <br />____________________________________________<rc:»I>C B ut /fJ usABi-€ <br />tTfOAJ . <br />Date of Inspection Septic SystemrU*<j(wtor <br />This report must ba kept on the premises with system location and pumping recorcb. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner