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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nortb Sbore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473- 7357 <br />OWNER DP. -AC_ rc k iz^ L ADDRESS 22 'S /'j <br />PHONE PERMITNO'S. 7S28 DATES 7- /& y <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 ,entment system at the above address has been inspected and appears to fall into the category r-hecked <br />below: <br />*'f Meets or exceeds current city standards in all respects ialating to design, construction, and location. Appears <br />to be operating properly. <br />❑ Does not meet current city ;tandards in some respects relating to design, construction, or locatic =. 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 sourca of <br />pollition to surface or groundwaters, is creating a safety ,iazard, or is otherwise creating a public nuisance. <br />Please contact the inspector to discuss requirement: for repairs to your system. Soil testing may !w re- <br />quired. In all cases a design and site plan must be submitted for review. Your contractor mus! 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 !ank. <br />❑ Tank inspection indicates maintenance pumpout is needed as soon as possible City ordinance requires that <br />tanks he pumped out every three years. <br />.SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soi I <br />XnrfAigh water tohle <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 />Low <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />COMMENTS. _ <br />-��4EC_ A —TEA M fT^_' TS <br />_-- <br />Date of Inspection <br />Septic Syste pector <br />Site Capabilities for <br />Future Expansion <br />A9Adequate <br />❑ Fair <br />❑ Poor <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 />