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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 />OWNER — — — -- =— ILLitJSlt.A J -_ .--ADDRESS - /13� S . ��w/v <br />PHONE _— PERMIT NO'S. ('0027 _— DATES 6'-2 C — BC) <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 />;42 to be operating properly. <br />Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />q-63�—\to be operating adequately. <br />oes not meet current city standards of design, construction or location, is being overused, or is failing to <br />X4 roperly 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 />DSeptic tanks must be pumped within 48 hours. <br />❑ Grainfield must be repaired or replaced within 90 days <br />7 Inspection riser (4" diam, pipe) must be installed in each tank. <br />Tank <br />inspection <br />indicates <br />maintenance pumpout is needed as soon as possible <br />tanks <br />be pumped <br />out every <br />three years. <br />,SITE CHARACTERISTICS <br />Limiting Site Factors <br />❑ Slope <br />❑Soil <br />❑High water table <br />WLot size <br />[]Lake, wetland, or steam <br />❑Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />M m <br />igh <br />System is causing visible <br />surface discharge. <br />City ordinance requires that <br />S,te Capabrl i ties for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />Poor <br />❑ Inadequate <br />COMMENTS.0ALAA 2 NOMA D[r-<-Ca) Al - & 4C9 -L± T /N'T-L HOIA_tN. <br />Date of Inspection Septic System pector <br />This report must be, kept on the premises with system location and pu ping records <br />WHITE COPY ! insFtector's F ile <br />GOLD COPY Homeowner <br />