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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />CITY POST OFFICE BOX 66 <br />OF 1335 S. Brown Rd. <br />ORONO Crystal Bay, MN 55323 <br />473-7357 <br />OWNER 1 I41"W /UL)CXSOAJ ADDRESS y22C> /,V <br />PHONE <br />PERMIT NO'S. _ 7 DATES A9 <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 oeen 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, snd location. Appears <br />91 to be operating properly. <br />❑ Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />to be operating properly. <br />Does r, ,t meet curreni city stardards in many respects relating to design, constructir-1, or location. Appears <br />LJ 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 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 b: re- <br />quired. In all cases a design and site plan must be submitted review. Your Contract , must obtain a permit <br />before work is started. <br />WORK REQUIRED: <br />Septic tanks must be pumped within 48 hours. <br />Drainfield must be repaired or replaced within 90 clays. <br />Inspection riser (4" diam. pipe) must be installed in each tank. <br />Tank inspection indicatesance pumpout is ne,Aed as soon as possible <br />tanks be pumped o every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />E] High water table <br />❑ Lot size <br />❑ Lake, wetland, or stream <br />❑ Drainage <br />COMMENTS: <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />XLow <br />❑ Medium <br />❑ High <br />[—]System is causing visible <br />surface discharge. <br />City ordinance requires that <br />Date of Inspection Septic System IP49KOr <br />This report must be kept on the premises with system location and pumping records. <br />WHI i "OPY / Inspector's File GOLD COPY / Homeowner <br />Site Capabilit'as for <br />Future Expansion <br />Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />