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On the ,North Shore of <br />Lake Minnetonka <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />. Crystal Bay, MN 55323 <br />473-7357 <br />OWNER- 0 t1 Q C: L. A S A1''IISL1__ _ __-- -- _-- — .. ADDRESS -_ a-2Zit C lC tr 5 i V I C: L J 14 V e 111 U&�- <br />PHONE PERMIT NO'S. 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 standard in all respects relating to design, construction, and location. Appears <br />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 not meet current city standards in many respects relating to design, construction, or 'ocation. 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 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 requireme ;ts 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 />WORE: REQUIRED: <br />U Septic tanks must be pumped within 48 hours. <br />® Drain eld must be repaired or replaced within 90 days. <br />❑ Inspection riser (4" diam. pipe) mus' be installed in each tank. <br />❑ Tank inspection indicates maintena-ice purnpout is needed as soon as possible. City ordinance requires that <br />tanks be pumped jut every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />�] Soil <br />❑High water table <br />N Lot site <br />fA Lake, wetland, or stream <br />❑Drainage <br />Pctential for System railu: <br />(depend- on soil types, water <br />ttrble, and system condition) <br />❑ Low <br />❑ Medium <br />❑ High <br />[& System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />® Pocr <br />❑ Inadequate <br />COMMENTS:_ Scr.,[ r Nr,.;Vc IS [,��1:F�i .:.-,Nc�. i�._ OPAriy i:-ILLo cS _ <br />C1N THL-. Q F17(,_L- I _L_AAF'c'A(_.S -THE LI/y)<_1�_ 1)4S/ Tty <br />,-JfqA TAm)6,c Gt, 111r't J�fc=rt- _ I'Lk;_Att 0a.,i TA ir), tr. l-t %0.= <br />Date of Inspectior. _ Sep System Inspector <br />This report must be kept on th � promises with system location and pumping records. <br />WHITE COPY / Inspector s File GOLD COPY / Homeowner <br />