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On the North Shore of <br />Lake Minnetonka <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT CITY POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />O .ONO Crystal Bay, MN 55323 <br />//1� <br />473-7357 <br />OWNER ANbrzigtJ C�rr�FTiE/l ADDRESS _/ 3 £3S f—Gx ST. <br />PHONE PERMIT NO'S. — DATES — <br />City C.dinance 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 addre�, 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 />Dues not meet current city standards in some respects relating to design, construction, or location. Appears <br />to be operating properly. <br />❑ Does .iot meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />X4 Does not meet current city standards of design, construction or location, is being overused, or is failing to <br />pr perly 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 vesting may be re- <br />quired. In ;:i -aces 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 />�WDrainfield 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 he puml:a ; out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />[]High water table <br />[]Lot size 3-f- .� <br />121�ake, wetland, or stream <br />❑Drainage <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 />15 Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS:4�E <br />-5, <br />Date of Inspection Septic System I for <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 />