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2 (Zf3 L ylv4 AvE S d, <br />V0101-S, MN, ssylc, <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 473-7357 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />OWNER SA 8KQWA) ADDRESS �"/3S ST <br />PHONE <br />PERMIT NO. <br />DATE <br />City Ordinance No. 210 requires that each on -site sewage treatment system in Orono be inspected on a <br />regular basis. I have inspected the on -site sewage treatment facilities at the above address and find the system <br />classified as: <br />CONFORMING. Meets all the location, design, and construction standards of the Design Manual and <br />is operating satisfactorily. Careful maintenance of your system should ensure continued <br />satisfactory operation. <br />a SUBSTANDARD. Does not meet all the design, location, or construction standards of the Design <br />Manual but is operating satisfactorily. Your system must be inspected yearly and may require <br />reconstruction at a future date if found to be failing. <br />JENON -CONFORMING. Does not meet all location, design, or construction standards, is being overused, <br />or is failing to properly dispose of the current input and is therefore creating a public nuisance, <br />endangering a water supply, is a source of pollution to surface or ground waters, or is creating <br />a safety hazard. YOUR SYSTEM MUST BE RELOCATED AND/OR MADE CONFORMING <br />WITHIN ONE YEAR FROM THE DATE OF THIS INSPECTION. Please complete the enclos- <br />ed application form and submit the required materials for review and approval. Your contrac- <br />tor must obtain a permit before work is started. <br />Septic tanks must be pumped within 48 hours. <br />1-1 Drainfield must be repaired, altered, or replaced within 90 days. <br />COMMENTS: Oimnie, /'1'1guvfciP•&4. �ooc S'tcTle� 22. LD - Sc.'64, 2 / Lc-� <br />IFItOM16%7= NSE oF' CES.SPOpLS CECa►pA JPfVX Ede PI2iV/G< CA If" TAf7L <br />C_LTY _ Tge 0"rifo"1E PIT must BLr f/LLEl] ?I-eA1 NTw T- ME /F <br />YjQL! PLAN 'Tn C,V A.r CT"QQ-_ IVVMP Aaky 'TNl r s/r <br />Inspection manhole must be installed. Please call me for details. <br />Date of Inspection <br />Septic System Inspect <br />This report must be kept on the premises with system location and pumping records. <br />White Copy/Inspector's File Cold Copy/Homeowner <br />