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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />Orr the North Sbore of <br />Lake Minnetoieke <br />POST OFFICE BOX 86 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 66323 <br />473-7357 <br />OWNER QATRIC.J^ A_ tf1 0fUJ%AIa ADDRESS 1965, Cbgmru C " A go <br />PHONE y-75' It PERMIT NO'S 3601 DATES /1 ' 73 <br />City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular bests. <br />The on-site sewage treatment system at the above address has been inspected and appears to fall into the category chedted <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 />a Does not meet current city standards in some respects relating to design, construction, or location. Appear <br />to be operating properly. <br />❑ Goa not most current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />❑ properly <br />oa not meet current city standards of design, construction or location, is being overused, or is failing to <br />treat and dispose of the current input and is therefore endangering a water supply, is a mums 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 case 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 />❑ Septic tanks must be pumped within 48 hours. <br />Drainfield must to repaired or replaced within 90 days. <br />❑ Inspection riser 14" dism. pipe) must be installed in each tank. <br />❑ Tank inspection indicates maintenance pumpout is needed as soon as possible. <br />tanks be pumpeo out every three years. <br />SITE CHARACTERISTIC. <br />Limiting Site Factors <br />❑ Slope <br />❑Soif <br />[1 water table <br />- ze <br />+k. , wetland, or stream <br />�.� r straps <br />COMMENTS: <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 />City ordinance requires that <br />Date of Inspection SeOik System Inspector <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner <br />Site Capabilities for <br />Future ExpwWon <br />❑ Adequate <br />❑ Fair <br />® Poor <br />❑ Inadequate <br />