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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nor:b �',nre of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />ORONO Crystal Bay, MN 55323 <br />473-7357 <br />OWNER 4AW2EAyC1: Fes. _QtA1QK_ ADDRESS AW-210 06VIIV LA1V,T <br />PHONE <br />PERMIT NO'S. 1<fj0!1_-j DATES fit" JV- 79 <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 />® <br />1 0* Meets or exceed, 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 />❑ 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 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 flan 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. <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 />eHigh water table <br />[]Lot size <br />❑Lake, wetland, or stream <br />❑Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />/Q 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: *_A10,2Ai Pc//nP ALARr/r1 ('ag-& AV Caltrr s Nvc'c: /cf TX) <br />MAN 1 -011-L 1MQto ON cnANG!d T6 eL.miA/A A _-trJRCACLf JIV.-d.o.y <br />AA1h iZl S7 sA]L- GA_L%r-CL <LA trAyV _/�; Tliis C[; I V a Li <br />NI Av.s Q V ps%-i a, yS <br />Date of Inspection SQVic 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 />