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,A <br />W <br />i- <br />,r. <br />ON SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />CITY <br />ORONO <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER ^77fe>/V>A-g « SiPOcOAy-g"ADDRESS ‘7<^0 RiCQaJAj ^x>. <br />PHONE 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 on-site sewage treatment system at the above address has been inspected awd appears to fall into the category checked <br />below: <br />1 Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears <br />to be operating properly. <br />2 Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />to be operating properly. <br />H3 Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />□ 4 Does not m :et 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 />rn Septic tanks must be pumped within 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 />I— Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />Qf Slope <br />□ Soil <br />QHigh water table <br />y *Lot size <br />"ptfLake. wetland, or stream <br />f~|Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />Q Low <br />Medium <br />D High <br />0 System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />0 Adequate <br />0 Fair <br />Poor <br />n Inadequate <br />COMMENTS:. <br />Date of Inspection Septic System <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 />i <br />•f <br />I <br />i