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On the Nortb Sbore of <br />ON -SITE SEWAGE TREATMENT Lake Minnetonka <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER QP, __L'L f. ADDRESS 7:1 i f%CViL cy Crf�/UG' <br />V IONE PERMIT NOS. i - 3j 7 <br />DATES _ L -125 R 1 <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 appears to fall into the category checked <br />below: <br />01 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 />a Ooes not meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />❑ Does not mat 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 source of <br />pollution to surface or groundwaters, is creating a safety i.a7ard, 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, nust 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 40 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 out every three years. <br />SITE CHARI�CTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑High water table <br />❑ Lot size <br />❑ Lake, wetland, or stream <br />[]Drainage <br />COMMENTS: _ <br />Poten•ial for system Failure <br />(depends on soil types, water <br />table, and system condition) <br />(3 Low <br />❑ Medium <br />❑ High <br />❑ System is casing visible <br />4— face discharge. <br />r <br />Date of Inspection tic System 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 / Humeowner <br />