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On the North Shore of <br />Lake Minnetonka <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT POS r OFFICE BOX 66 <br />1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 55323 <br />Ilk -A 473-7; +7 <br />OWNER12A4mQtwo_Pj—filllllijk::� __ADDRESS__S,5V EA _4AKs;,__ <br />PHONE PERMIT NO'S. DATES__ <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 appeals to fall intu the category checked <br />below: <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 currer;t city standards in some respects relating to design, construction, or location. Appears <br />to be operating properly. <br />ElDoes not meet curr nt city standards in many respects relating to design, construction, or location. Appears <br />to be operating adeq ,ately. <br />a Does not meet current city standards of design, construction or location, is being overused, or is failirtrj to <br />properly treat and dispose of the current inpu, 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 we rk is started. <br />WORK REQUIRED <br />❑ Septic tanks must be pumped within 48 hours. <br />Drainfield mu . be repaired or replaced within 90 days. <br />Inspection riser (4" d-am, pipe) must be installed in each tank <br />it Tank inspection indicates maintenance pumpout is needed as ,00n as possible. City ordinance requires that <br />L 1 tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soi I <br />❑High water table <br />Lot size <br />Lake, wetland, or stream <br />'Drainage <br />Potential for System Failure <br />(depe+):fs on soil types, water <br />table, and system condition) <br />❑ Low <br />Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Srta Capabilities for <br />Cuture Expansion <br />K Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />ENTS:.� 7eerr1 S -tc, he 4,)&kjN4 :rA Aiae . AT CU"E ' 7 _ <br />Date of Inspection tic 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 />