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On the North Shore of <br />Lake Minnetonka <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />4 73-7357 <br />OWNER �s�.a �. ---ADDRESS 3C'((L r[;. Tie).) 64I ►_rQ --- <br />PHONE PERMITNO'S... DATES 9 E -`S3 <br />City Ordinance No. 210 requires that each on site sewage treatment system in Orono `.)e 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 />tMeets 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 />[1Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />❑ Does not meet current city standards of design, const: jj tion 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 , -irface or groundwaters, is creating a safety hazard, or is otherwise creating a public nuisance. <br />Please .ontoct 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 br :ubmittec] 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 />❑ Drainfleld roust be repairrrl or replaced within 90 days. <br />❑ Inspection riser (4" diam. pipe) must be installer] n each tank <br />❑ Tank inspection indicates maintenance pumpout is needed as ;non 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 />® Lot size <br />[]Lake, wetland, or stream <br />❑Drainage <br />COMMENTS. <br />Pot-nual 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 />Site Capabilities for <br />Future Expansion <br />® Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />Date of Inspection <br />ptic System Inspector <br />This report must kept on the premises with system location and pumping records <br />WHITE COPY / Inspector's File GOLJ COPY / Homeowner - <br />