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ON-SiTE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER <br />PHONE <br />^ AnnPF* <br />. PERMIT NO'S. 3d.T~/ <br />On the North Shore of <br />Lake Mianetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 56323 <br />473-7367 <br />_________OATES 30~ <br />City Ordinwict No. 210 raquim that each oo-$ite 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 />□ l <br />^2 <br />□ 3 <br />□ 4 <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 sUndards In some respects relating to design, construction, or location. Appears <br />to be operating properly. <br />Does not meet current city stattdards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />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 and is therefore endartgering 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 mutt be submitted for review. Your contractor mutt obtain a permit <br />before work it started. <br />WORK REQUIRED: <br />n Septic tanks mutt be pumped within 48 hours. <br />I I Drainfield mutt be repaired or replaced within 90 days. <br />I I Inspection riser (4’* diam. pipe) must be installed in each unk. <br />I I Tank inspection indicates maintenance pumpout is needed as toon as possible. City ordinance requires that <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factore <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 />ElMedium <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-uture <br />% <br />rnMiuiPNT.q- <br />Date of Inspection Septic System <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner