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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER R, i c0Arei'�s A , tJA _ADDRESS <br />PHONE PERMIT NO'S. <br />On the No N th Shore of <br />LA ' Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay.. MN 55323 <br />473-7357 <br />DATES <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 />1 to be operating <br />P 9 <br />Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />2 to be operating <br />P 9 <br />Does not meet current city standards in many respects relating to desiqn, construction, or location. Appears <br />X3 to be operating adequately. <br />ade uatel . <br />Does not meet current city standards of design, construction or location, is being overused, or is failing to <br />4 properly treat and dispose of the curreiit input and is therefore endangering <br />P 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. e Z� I <br />WORK REQUIRED: G� <br />r <br />❑ Septic tanks must be pumped within 48 hours. <br />F1Drainfield must be repaired or replaced within 90 days. o <br />Inspection riser (4" diam. pipe) must be installed in each tank. <br />F-1Tank <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 CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />High water table <br />of size <br />ake, 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 />COMMENTS:_ t�NA �"%- POF <br />Date of Inspection <br />5"1 <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />j] Fair <br />Poor <br />❑ Inadequate <br />Septic System I <br />This report must be <br />kept on the <br />premises <br />with system location and <br />pumping records. <br />WHITE COPY <br />/ Inspector's <br />File <br />GOLD COPY / <br />Homeowner <br />