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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER VdkiAi <br />PHONE_______ <br />.ADDRESS. <br />PERMIT NO'S. <br />Off the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1336 S. Brown Rd. <br />Crystal Bay, MN 56323 <br />473-7367 <br />yvto T>A/ed3T^ At/^ <br />_______DATES CA <br />City Ordinsnot No. 210 rtquim that aach on-iita Mwaga traatmant sytlam in Orono ba inipactad on a regular basis. <br />Tha on-site sawaga traatmant system at the above address has bean inspectad and appears to fali into the category chacfcad <br />below: <br />□ l <br />'02 <br />□ 3 <br />□ 4 <br />Meats or axoaads current city standards in all respects relating to design, construction, and location, <br />to be operating property. <br />Appears <br />Does not meat currant city standards in some respects relating to design, construction, or location. Appears <br />to be operating propaiiy. <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 surface or grourulwatars, is creating a safety haiard, 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 started. <br />WORK REQUIRED: <br />n Septic tanks must be pumped within 48 hours. <br />r~| Drainfield must be repaired or replaced within 90 days. <br />n Inspection riser (4" diam. pipe) must be installed in each tank. <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 Facton <br />□ Slope <br />□Soil <br />□High water table <br />□ Lot size <br />JB(Lake, wetland, or stream <br />plprainaoe <br />Potential for System Failure <br />(depends on soli types, water <br />table, and system condition) <br />P^Low <br />S^edium <br />□ High <br />□ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />□ Adequate <br />□ Poor <br />□ Inadequate <br />COMMENTS: <br />Data of Inspection Septic System InipiCtEr <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / inspector's File GOLD COPY / Homeowner