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ON -SITE SEWAGE TREATMENY <br />INSPECTION REPORT <br />On the North Shore cj <br />Lake Minnetonka <br />CiTY POST OFFICE PDX 66 <br />1335 S. Brown Rd. <br />_ONO � Crystal Bay, MN 55323 <br />473-7357 <br />OWNER NA-�QT/ A E U eNAD A _ADDRESS <br />�7S'S Fox S-r• <br />PHONE PERMIT NO'S. yip DATES -�' —31- - (-3 <br />City Ordinance No. 210 requires tha+. each on -site sewage treatment system in Orono be insr,:cted on a regular basis. <br />The on -site sewage treatment system at the above address has been inspected and appears to fall into 0e 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 proper,,/. <br />❑ Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />:o 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 haz :rd, 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 `nr review. Your contractor must obtain a permit <br />before work 's started. <br />WORK REQUIRED: <br />❑ Septic tanks must be pumped within 48 hours. <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 iiid;cates maintenance pumpout is needed as soon as ble. 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 />'41.ake, wetland, or stream <br />[]Oraina,le <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 />V Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS: S-.STr z" -e-UCAZ_& L1 !/1/l/KJl1C)Ca�/U .4/U `1 i/y�p1�ILt.A�iQ� <br />_oti i-7— cam✓/ L L R r <br />Date of Inspection Septic System Insp <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 />