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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nortb Shore of <br />Lake Minnetonka <br />CITY POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />O R ONO Crystal Bay, MN 55323 <br />473-7357 <br />OWNER M12s JNbr•r-m %C0c+1 ADDRESS_ 30r? 'rox ST. <br />PHONE _ PERMIT NO'S. ZQn DATES 6 - f L- 4­3 <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 />X2 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 I--- 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 90 days. <br />T7��. Inspection riser (4" diam. pipe) must be installed in each tank. <br />L.I <br />Y( "��Tank inspectior 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 />Al'Slope <br />❑ Soil <br />❑High water table <br />VdLot size , t/5 Ae . <br />Wake, wetland, or stream <br />ElDrainage <br />COMMENTS: <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 />rMp"Poor <br />❑ Inadequate <br />Date of Inspection comic. Sv Inspcotur <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 />