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On the North Shore of <br />Lake Minnetonka <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT CITY POST OFFICE BOX 66 <br />OF 1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 55323 <br />q 473-7357 <br />OWNERCL-1A)7-0N M/4-A—EK ADDRFSS 190 `1G/UL'T Pt-+cE <br />PHONE PERMITNO'S. S33 , DATES— z`i—'28 <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 appeals to fall into the category checked <br />below: <br />Ddi 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 />G Does not meet current city standards of design, construction or location, is being overused, or is faring to <br />properly treat and dispose of the current input and is therefore endangering a water supply, is a source if <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 ano 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 hairs. <br />QDrainfield must be repaired or replaced within 90 days. <br />Inspection riser (4" diam. pipe) must be installed in each tank. != <br />Tank inspection indicates maintenance pumpout is needed as soon as possible. City „nce requires that <br />t::nks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />v Slope <br />❑ Soil <br />High water table <br />❑ Lot size <br />[]Lake, wetiand, or stream <br />[]Drainage <br />COMMENTS: <br />Potential for System Failure <br />(depends on soil types, water <br />tahle, and system condition) <br />K-ow <br />❑ Medium <br />High <br />j '-vstem is causing visit.' - <br />surrace discharge. <br />_ 1 <br />Date of Inspection Septic byte Spector <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />❑ Pocr <br />❑ Inadequate <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 />