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On the North Shore of <br /> Lake Minnetonka <br /> ON-SITE SEWAGE TREATMENT <br /> INSPECTION REPORT POST OFFICE BOX 66 <br /> 1335 S. Brown Rd. <br /> � Crystal Bay, MN 55323 <br /> � - • • <br /> 473-7357 <br /> OWNER _ �C�A► /11Gvihl` ADDRESS ��� �-Y�N�.� �L/�CL <br /> PHONE PERMIT NO'S. �_3�3irioti DATES --y "+3�'����1'/)" 7.�-' <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 /> � Inspection riser (4"diam. pipe) must be installed in��tank. /�T N�:�T �c1mPr�t1: <br /> � Tank inspection indicates maintenance pumpout is needed as soon as possible. Citv ordinance requires that <br /> tanks be pumped out every three year� <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 /> ❑High water table �Low [?� Fair <br /> �.Lot size ❑Medium 0 Poor <br /> (�Lake,wetland,or stream ❑High ❑ Inadequate <br /> ❑Drainage ❑System is causing visible <br /> surface discharge. <br /> COMMENTS: �U� I�..EL�r�S .Sj-IOw JUC� PG'�1�'//vC� �Si/l1 'G P.EP/)/� //V <br /> �q 7_S's'. TA N�S s�o us:.�o r3c �✓srrP�v f�' r�� n��+vC nr c�r- [��Erv �rnf�-la <br /> /iV T/�iC �As i � Y�ff�� ?� ��OLc/l�� TffE �.��'� Of= YOvC� ip2�iN�=lt.C.�, <br /> 6�r ,�9- ��r `-P ..,._._ <br /> Date of Inspection Se tic System 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 />