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On the North Shore of <br />� <br />ON -SITE SEWAGE TREATMENT Lake11irr>'ictorlka <br />INSPECTION REPORT POST OFFICE BOX 66 <br />OF 1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 55323 <br />473-7357 <br />OWNER-_ Qu�f�c__larupr=r �G1�__ _--- ADDRESS __�15 �srlt..L. <br />PHONE PERMIT NO'S. _�`tt�__. DATES 7-cf 70 <br />City Ordinance No. 210 requires that each on -site sewage treatment system in Orono be inspected on a r gular basis. <br />The on -site sewage treatmer' 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 />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 location. Appears <br />to be operating adequately. <br />❑ Uoes 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 fog 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 />WORK REQUIRED: <br />❑ Septic tanks must be pumped within 48 hours. <br />Drainfield must be repaired or replaced within 90 days. <br />© Inspection riser (4" diam. pipe) must be installed in each tank. A j RJc AT Or.'r►IPiit; L <br />Tank inspection indicates maintenance pumpout is needed as soon as possible City ordinancerequires hat <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />❑ Slope <br />Ej�so <br />❑High water table <br />® Lot size <br />El 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 />❑ Low <br />Medium <br />® Ft.gh <br />❑ System is causing visible <br />surface discharge. <br />J*? <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />® Poor <br />❑ Inadequate <br />rr is UE &Y fe"000FTANr M t4*4VC Y(juF MA1icy jeVrrtPCO Lt!=,Cv 3 r 40c-s <br />TO__%SEl'PtiT sL';�g1 (�d111- [4�-.N� <br />Date of Inspection SeeS%ic 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 />