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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 �� 01C, /U/0Cj-SrALr ADDRESS /Zg_7 S4ulk=/y JCS S <br />FHONE <br />PERMIT NO'S. r <br />DATES _ _ <br />City Ordinance No. 210 requires that each on-site sewaqe treatment system in Orono be inspected on a regular basis. <br />The on-site sewage treatment system at the above address has beer, 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 rneet rurrent 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 r iany respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />,Wic vemr 13ZKS vlo Thwa Tic e c r R O V7 7>c2�rZ C9F Si.G: /or✓ <br />Does not mgr.Lcurrent city standards of design, construction or location, is being overused, ori failing to <br />properly treat and di�pnce o the current input a d is therefore endangering a water _suoDly. is a so 0 <br />po u ion o sur ace groundwater— s, i� ting a safety hazard, or is otherwise eating a public nuisa <br />ease con act the inspector to discuss requirements for rF rs to your system. Soil testing may be re- <br />quired. In all cases a design and site plan must be submitted for review. Your contra, must obtain a permit <br />befora work is started. Alx•(&-O 47 (2:�6;7- 3 T����S T�/5 /"/t- <br />- ✓uC / - e3C Tt>4C <br />WORK REQUIRED: <br />sIF <br />0 Septic tanks must be pumped wiLnin 48 hours. At N� I-�J1� RLS <br />0Drainfield must be repaired or replaced within 90 days. <br />IAR� NQED <br />❑ Inspection riser (4" dian,. pipe) must be installed in each tank. <br />ElTank inspection indicates mainienanc:e 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 />El High water table <br />VLOt Si7P. <br />❑ Lake, wetland, or stream <br />X ' ark II � F.& T" <br />jC ur�C.�F' !�'�q p"'K�1 <br />COMMENTS:_ �/'�I_ /S Zi <br />Potential for System Failure <br />(depends on soil typ(+,s, water <br />table, and system condition) <br />❑ Low <br />❑ Medium <br />High <br />❑ System is causing visible <br />1� <br />surface discharge. <br />N <br />C'� <br />Date of Inspection Septic System In <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />KPoor <br />❑ Inadequate <br />ACk'CiP — <br />This report must be <br />kept on the <br />premises with <br />system location and <br />pumping records. <br />WHITE COPY <br />/ Inspector's <br />File <br />GOLD COPY / <br />Homeowner <br />