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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 />473-7357 <br />OWNER E.OWAW M COBILKi ADDRESS SICI iVDRTM FeIujoiwC 94, <br />PHONE _ PERMIT NO'S. S710 DATES 9 ' 10- 7 a <br />City Ordinance Nd. 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 />a 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 />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 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. <br />WORK REQUIRED: <br />Septic tanks must be pumped within 48 hours. <br />Drainfield must be repaired or reple.ad within 90 days. <br />® Inspection riser ;4" dram. pipe) must be installed in each tank. A T NEXT <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 />Potential for System Failure <br />❑ Slope <br />(Jepends on soil types, water <br />❑Soil <br />table, and systern condition) <br />❑High water table <br />Low <br />❑ Lot size <br />❑ Medium <br />Lake, wetland, or stream <br />❑ High <br />[]Drainage <br />❑ System is causing visible <br />surface discharge. <br />COMMENTS: TANKS <br />1�401-0 %Qd:: P✓�[''!�! Tt" -5 Y,=—n _ <br />t')t"IfI"►j <br />City ordinance reguiru that <br />�Lj-- <br />Date of Inspection ptic 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 / Homeowner <br />