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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nortb Shore of <br />Lake ;Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />O .ONo Crystal Bay, MN 55323 <br />473- 7357 <br />OWNER__ E.'Ti �_. k4AIY MMEJ ADDRESS <br />PHONE . PERMIT Y$ "An�y DATES /6- 7'SY <br />City Ordinance No. 210 requires that each )n• Ste sewage treatment system in Orono be inspected on a regultir basis. <br />The on -site sewage treatment system at the above address has been inspected and appears to fall into the category decked <br />below: <br />❑ Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears sto 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 />a Does not meet current city standards in many respects relating to design, construction, or loc, tion. Appears <br />to be operating adequately. <br />r, Does not meet current city standards of design, construction or location, is being overused, or is failing to <br />u 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 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 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 cut every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑High water table <br />Lot sire <br />❑Lake, wetland, or stream <br />❑Drainage <br />IV cNTS:- <br />Potential for System Failuie <br />(depends on soil types, water <br />table, and system condition) <br />❑ Low <br />Medium <br />R] High <br />❑ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />B Fair <br />❑ Poor <br />[� Inadequate <br />n <br />-7 - pi li - VS <br />Date of Inspection Se 'c 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 />