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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 />OF 1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 55323 <br />ilk 473-7357 <br />// <br />OWNER �'j-�P,�f�N C� . /�ASTZE/ ADDRESS_S �U_ Si , <br />PHONE PER"11T NO'S. ` e C? 7 6, DATES —-lq - 71-// <br />— <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 />)�f <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 />ElDoes 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 supp;y, 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 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 w;thin 48 hours. <br />❑ Drainfielu must be repaired or replaced within 90 days. <br />❑ Inspection riser (4" diam. pipe) must be installed in each tank. UK - <br />Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that <br />tanks be pumped out every :hree 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 />❑Drainage <br />Potential or System Failure <br />(deperds on soil types, water <br />table, and system condition) <br />❑ Low <br />Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />COMMENTS: Z ND ZA?J,_ /JvT <br />-- -- - -- - 'A <br />Date of Inspection Septic System Ins <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 />Site Capabilities for <br />Future Exponsion <br />❑ Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />