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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER <br />PHONE <br />PERMIT NO'S <br />On the North .Shore of <br />Lake itfinnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />DRESS 13'9.s 91e0wN 11�-a . S , <br />DATES <br />City Ordinance No. 210 requires that each on-si - 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 />X2 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 locaticio, 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 sefety hazard, or is otherwise creating a public ruisance. <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 />ElSeptic tanks must be pumped within 48 hours. <br />0 Drainfield must be repaired or replaced within 90 days. <br />Inspection riser (4" diam. pipe) must be installed in each tank. OK <br />❑ Tank <br />inspection <br />indicates <br />maintenance pumpout is needed as soon as possible. City ordinance requires that <br />tanks <br />be pumped <br />out every <br />three years. <br />SITE CHARACTER IS FIGS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑ High water table <br />%Lot size <br />❑Lake, wetland, or stream <br />❑Drainage <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 />surface discharge. <br />r <br />COMMENTS:__ PVIMPVT> _)H.LY__ 8I Site <br />_—_-- <br />Date of Inspection Septic System Ins <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's F i le GOLD COPY Homeowner <br />Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />Poor <br />❑ Inadequate. <br />