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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />_ Crystal Bay, MN 55323 <br />ONO 473-7357 <br />OWNER Ale♦MlS JOkNsON ADDRESS ��! N /aW-AJ04tAF /CAlt" <br />PHONE <br />PERMIT NO'S. 6878 DATES /k /6-592— <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 />Xto be operating properly. <br />❑ Does 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, construction or location, is being overused, or is failing to <br />do 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 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 must be submitted for review. Your contractor must obtain a permit <br />before work is started. Ne5W bieANNF«t-b MPL%A02s TO IS4F &-)0KK/NG k <br />WORK REQUIRED: `6-4 611416 H 7- i43K W I r>Ak an S TD COMs1< Ade_ 44vb DO <br />FINISH JOB ON ThE 644D/N f • I7-S ST/LC etc%ten OF <br />❑ Septic tanks must be pumped within 48 hours. r /4 eW. #4rpgReeVT-L%( wA1 'TDp wQ-T -r-p Q0 <br />❑ Drainfield must be repaired or replaced within 90 days. A"457— FA -Ls, <br />❑ Inspection riser 14" diam. pipe) must be installed in each tank90 OK — <br />ElTank 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 />❑ Lot size <br />Lake, wetland, or strew Po t) <br />❑Drainage <br />(0-/7- 83 <br />Date of Inspection <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />XLow <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Septic System <br />Site Capabilities for <br />Future Expansion <br />XAdequate <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 />