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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 />O . O O Crystal Bay, MN 55323 <br />473-7357 <br />OWNER /1 . &C/C ADDRESS / / 9S 40,11C <br />PHONE PERMIT NO'S. 18 / (52 DATES :2- /3—&8 _ <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 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 />04 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 creatinq 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 replaced within 9C 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 <br />tanks be pumped out every three years.FLA PIA PEp S _ 3 _ <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />[]High water table <br />[] Lot size <br />❑Lake, wetland, or stream <br />;a,rainage <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 d scharge. <br />City ordinance requires that <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS: <br />Date of Inspection Septic Syste pector <br />This report roust be kept on the premises with system location and pumping records. <br />v'JHITE COPY / Inspector's File GOLD COPY / Homeowner <br />