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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER <br />PHONE <br />PERMIT NO'S. <br />DRESS <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 />Da� S B�wwo A�> . S . <br />DATES <br />City Ordi ante 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 />Q 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 />K2 to be operating properly. <br />❑ 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 endargLring 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 />K_ <br />WORK REQUIRED: � <br />OVA-r. <br />F1 Septic tanks must be pumped within 48 hours.oN� P� <br />Drainfield must be repaired or replaced within 90 days. /i,PA rA <br />',,v..``D� i5 ►� o <br />Inspection riser (4 dram. pipe) must be installed in each tank. V" <br />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 />❑ Slope <br />❑ Soil <br />❑High water table <br />OLot size <br />E] Lake, wetland, or stream <br />[]Drainage <br />bL <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />❑ Low <br />Medium <br />❑ High <br />❑ System is causing visible <br />urface discharge. <br />Site Capabilities for <br />Future Expansion <br />Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />e <br />3 - 2883-�-�'- <br />Date of Inspection Septic System I <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 />