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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 />CITY 1335 S. Brown Rd. <br />OF Crystal Bay, MN 55323 <br />O R O O 473-7357 <br />OWNER 7E`p _ADDRESS 621 N. Z2g.&2 a4L6: eA - <br />PHONE <br />PERMIT NO'S. 6�? DATES 72= / <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 />(�7(� 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 />03 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 : water supply, is a source of <br />pollution to surface or groundwaters, is creating a safety hazard, or is otherwise cr, , , a public nuisance. <br />Please contact the inspector to discuss requirements for repairs to your system. Su.I testing may be re- <br />quired. In all cases a design and site plan must be submitted foi review. Your contractor must obtain a permit <br />before work is started. <br />WORK REQUIRED: <br />0 Septic tanks must be pumped within 48 hours. <br />Drainfield must be repaired or replaced within 90 days. <br />1-1 Inspection riser (4" diam. pipe) must be installed in each tank. <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 stream <br />❑ Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />OLow <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />CUMMENTS: <br />Site Capabilities for <br />Future Expansion <br />' Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />Date of Inspection Septic System In or <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 />