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On the North Shore of <br />ON -SITE SEWAGE TREATMENT Lake Minnetonka <br />INSPECTION REPORT CITY POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 55323 <br />illk -A 473-7357 <br />OWNER 1JAUIU C. (3L`RNS —ADDRESS`r�Z�AS% LAKE STRCET <br />PHONE PERMIT NO'S. — DATES <br />City Ordinance No. 210 requiras 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 />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 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 re!ating to design, 1 u..:*ruction, or location. Appears <br />to be c oerating adequately. <br />❑ Does not meet current city standards of design, construction o: 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 p-iblic nuisance. <br />Pleasc contact the inspector to discuss requirements for repairs to your sys.om. Soil testing may be re- <br />quired. In all cases a design and we plan must be submitted for review. Your contract,.r must ubtain 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 inteeh htank. /9T /UcX T /U,�11P,nid <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 />®High water table <br />go Lot size <br />Lake, wetland, or stLe`m,. <br />❑Drainage <br />COMMENTS: <br />Date of Inspection <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 />SeSystem Inspector <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <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 />