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On the North Shore of <br /> Lake�Ylinnetonka <br /> ON-SITE SEWAGE TREATMENT <br /> INSPECTION REPORT POST OFFICE BOX 66 <br /> 1335 S. Brown Rd. <br /> � Crystal Bay, MN 55323 <br /> � � � 473-7357 <br /> OWNER �c;t-41� L . l�v�,Uz-= � ADDRESS ��`� C/�tSi V l�w <br /> PHONE PERMIT NO'S. � DATES � <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 /> ❑ � 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 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 90 days. <br /> a Inspection riser (4"diam. pipe) must be installed in each tank. /f� N�X r f'v/�'�'�'�'U� <br /> � Tank inspection indicates maintenance pumpout is needed as soon as possible. Citv ordinance reauires that <br /> tanks be pumped out everv three vears. <br /> SITE CHARACTERISTICS: <br /> Limiting Site Factors Potential for System Failure Site Capabilities for <br /> ❑Slope (depends on soil types,water Future Expansion <br /> �Soil table,and system condition) � Adequate <br /> ❑Highwatertable ❑ Low ❑ Fair <br /> �Lot size �-Medium �. Poor <br /> ❑Lake,wetland,or stream �High ❑ Inadequate <br /> ❑Drainage �System is causing visible <br /> surface discharge. ' <br /> COMMENTS: sc�►�s ��.:2 A2c-�► C3ccome c�.ou�ac9 vF�. e�s:���sn rr �s ;irv✓e�/.Tq�r_T 7�D rfArJC <br /> �nc��� TRN�CS PJ M�� pR5 B���E <^L�p c G r�'T �nl"'fi n�.'h1NF[CCA r y� iJ J/'fDo't� <br /> r-���� A �r�v►� �c:��2 A,�vfl (3A��cFS Aat�a �7- r�q�r T�rr►� Acs� ,. <br /> � <br /> 7' b - ��-+' �� . e( �vv�✓� <br /> Date of Inspection Septic�stem Inspector <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 />