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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nortb Shure of <br />Lake .Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 553%3 <br />473-7357 <br />OWNER_ M f CNdiff L _ P VAL Z_ ADDRESS _ a6 l Gy (Atr—, QL.ACt: <br />PHONE PERMIT NO'S. QIt3 DATES 7 - I/ - L0 <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 />belo%v: <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 />92 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 />❑ 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 surfaca 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 review. Your contractor must obtain a permit <br />before work is st-irted. <br />WORK REQUIRED: <br />❑ Septic tanks must be pumped within 48 hours. <br />❑ Drainfield !nust be repaired or replaced within 90 days. <br />© Inspection riser (4" diam. pipe) must b4 installed in each tank. r}T Nc: ,t I Puml,,NG <br />® Tank inspection indicates maintenance pumpout is needed as soon as possible. Cites ordinance requires that <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />Potential for System Failure <br />Site Capabilities for <br />® Slope <br />(depends on soil types, water <br />Future Expansion <br />[jSoil <br />table, and system condition) <br />❑ Adequate <br />❑High water table <br />❑ Low <br />❑ Fair <br />[]Lot size <br />® Med-um <br />0 Poor <br />®Lake, wetland, or stream <br />© High <br />❑ Inadequate <br />❑Drainage <br />❑ System is causing visible <br />surface discharge. <br />COMMENTS:___ <br />Date of Inspection <br />Sec System Inspector <br />This report must he kept on the premises with system ioca!ion and pumping records. <br />WHITF COPY / Inspector's File GOLD COPY / Homeowner <br />