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On the North chore of <br />ON -SITE SEWAGE TREATMENTLake Minnetonka <br />INSPECTION REPORT CITY POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 55323 <br />473-7357 <br />OWNER ��S • ! l AJAL1>2/tHADDRESS Q/ i /;Zt/D'QLer- <br />PHONE PERMIT NO'S. DATES _ <br />City Ordinance N-.. 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 />❑ 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 />❑ Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />94 Does not meet 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 suurce 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 t�:stinq 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. <br />WORK REQUIRED: <br />TP_y SUILL/i/A/US q73 - <br />n 4=huurs. Septic tanks must be pumped wiPrTew"S"' " L1/ / <br />❑ Drainfield must be repaired of replaced within 90 days. <br />❑ Inspection riser (4" diam. pipe) must be installed in each tank. <br />❑ Tank inspection indicates maintenance pumpout is deeded 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 stream <br />❑Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />❑ Low <br />❑ Medium <br />❑ High <br />ystem is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS: ( l>Ni&A CTI")/e MrIS�/��!►'l F1D �� ^7�C I�)%— <br />P- c -r TZ) Br A6C-F lgj�ti /ie_ <br />w�-fit- 7"usT �9C_ aI"PED Z /0 <br />f� L L FvL/�Tf 7� EGG w OF Se�R G E� Ap As 'O F71E17V A-4- Y <br />AC2 - /. _ - 7� - __ lteRAIVt-S <br />Dare of Inspection Septic Syste Spector <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 />