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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On 0— North Shore of <br />Lake Afirrnetonka <br />POST OFFICE BOX 66 <br />CITY 1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />R• <br />473 7357 <br />OWNERS -�SLt NL/L� ----ADDRESS pn G`f'C,�Jt'G� �e4tY <br />PHONE — PERMIT NO'S. — 13 __'-S DATES __ ./4 2 V —G-' C' <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 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 />03 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 therefure 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 be re- <br />quired. In all cases a design and site plan must be submitted for rev;ew. Your contractor must obtain a permit <br />before work is started. <br />WORK REQUIRED: <br />Septic tanks must be pumped within 48 hours. <br />ElDrainfieid must be repaired or replaced within 9U days. <br />Inspection riser (4" diam. pipe) must be installed in each tank. C) <br />Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑High water table <br />❑ Lot size <br />Lake, wetland, or stream /2tiD <br />❑Drainage <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 />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS: 12 i..- 8` C,A-'VeyLSA-a- ,j c,,—,ir/.+ 6. 1.6awsr'" _t±EIcMeiz;, E <br />Date of Inspection Septic Sys t nspector �� �, <br />c_ <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 />