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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Mi;inetonka <br />POST OFFe. BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />• - • 473-7357 <br />OWNER _. %IMPf ADDRESS_20611 ryeY16b_) <br />PHONE <br />PERMIT NO'S. SDOS DATES <br />City Ordinance No. 210 requires that each on -site sewage treatment system in Orono be inspected on a regular basis. <br />Tt,3 on -site sewage treatment system at the above address has been inspected and appears to fall into the category checked <br />below: <br />91 Meets or exceeds current city standards in all respects relating to de, i, construction, and location. Appears <br />to be operating properly. <br />❑ Doe. not meet current city standards in some respects relating to design, construction, or location. Appears <br />to be uperating properly. <br />❑ Gres not r eat -rent city standards in many respects relating to design, constructia or Iccation. Appears <br />to be operating aaequately. <br />❑ Does not meet :. irrent city standards of design, construction or location, is being overused, or is fsiling to <br />properly treat and jispose of the current input and is therefore endangering a water supply, is a source of <br />pollution to . irface u groundwaters, is creating a safety hazard, or is otherwise creating a public nuisance. <br />Please con•.act 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 ­'3mitted 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 />❑ Drainfield must be repaired or replaced within 90 days. <br />Inspection riser (4" diam. pipe) must be installed in each tank. A`r of <br />❑ Tank inspection indicates maintenance pumpout is needed as soon as possible. <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 />Potential for System Failure <br />(depends on soil types, wat, <br />table and system condition, <br />�irLow <br />❑ Mer: - <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />e <br />Date of Inspection Se <br />+P/r, POu4" <br />City ordinance reqtiires that <br />Site Capabilities for <br />Future Expansion <br />Adequate <br />Fair <br />❑ Poor <br />❑ Inadequ3te <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 />