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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North .Shore of <br />Lake Alinnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER <br />tvRL�1L4�1�'' <br />? _--.ADDRESS <br />PHONE <br />PERMIT NO-S. <br />DATES 4- Ft _5��c- 3 <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 />Meets or exceeds current city standards in dll respects relating to design, construction, ar.d location. Appears <br />to be operating properly. <br />IVf.Ftt-&G• 1 A,,Jie-S <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, co -truction 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 f filing 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 ail 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 hou,s <br />❑ Drainfield must be repaired or replaced within 90 days. <br />❑ Inspection riser (4" diam. pipe) must be installed in each tank. <br />❑ Tank 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 />Wrainage <br />Potential for System Failure <br />(depends on soil types, water <br />table and system condition) <br />Low <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />Adequate <br />Fair <br />❑ Po ,r <br />❑ Inadequate <br />COMMENTS:_ TEiN Sul! Nrtuivl��-nes/Zt'L1 Ay ui 'FNT STi►nzA�Ri]S B•1T <br />—fu i rr�L.%r fun": slniv A L�_ -- <br />--- <br />Date of Inspection Septic System ctor <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 />