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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER_(.�Ile r.F rJ.A-), _ <br />PHONE <br />PERMIT NO'S <br />On the .Vorth Shore of <br />Lake ,ilinnetonka <br />POST OFF!CE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />_ -AD DRESS.-_���-7�_ 9P_*l„),tJ PD_ S:n ,___ <br />DATES <br />�{ Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />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 aid 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 fo• review. Your contractor must obtain d permit <br />before work is started. <br />WORK REQUIRED: <br />ElSeptic tanks must be pumped within 48 hours. <br />Drainfield mi --t be repaired or replaced within 90 days. <br />sr <br />Inspection riser (4" diam. pipe) must be installed in-eaGh tank. <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 />7S�Lot size <br />E] Lake, wetland, or stream <br />❑Drainage <br />Potential for System Failure <br />(depends on soil tyoes, water <br />table, and system condition) <br />❑ Low <br />'Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />Poor <br />❑ Inadequate <br />-i u►y► ./ V <br />i <br />D.Inspection <br />Septic System In <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 />City <br />Ordinance No. 210 requires that <br />each on-site sewage treatment system in Orono be inspected on a regular basis. <br />The <br />on-site <br />sewage treatment system at the <br />above address has been inspected and appears to fall into the category checked <br />below: <br />Meets or exceeds current city <br />to be operating properly. <br />standards in all respects relating to design, construction, and location. Appears <br />�{ Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />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 aid 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 fo• review. Your contractor must obtain d permit <br />before work is started. <br />WORK REQUIRED: <br />ElSeptic tanks must be pumped within 48 hours. <br />Drainfield mi --t be repaired or replaced within 90 days. <br />sr <br />Inspection riser (4" diam. pipe) must be installed in-eaGh tank. <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 />7S�Lot size <br />E] Lake, wetland, or stream <br />❑Drainage <br />Potential for System Failure <br />(depends on soil tyoes, water <br />table, and system condition) <br />❑ Low <br />'Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />Poor <br />❑ Inadequate <br />-i u►y► ./ V <br />i <br />D.Inspection <br />Septic System In <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 />