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� � On the North Shore o f <br /> Lake Minnetonka <br /> ON-SITE SEWAGE TREATMENT <br /> INSPECTION REPORT POST OFFICE BOX 66 <br /> • <br /> 1335 S. Brown Rd. <br /> � _ � � Crystal Bay, MN 55323 <br /> 473-7357 <br /> OWNER L�'�/t=C+/N i.v/�LJ =-2 ADDRESS ��C�U L�4KC v/L c.�) T�iC� <br /> PHONE PERMITNO'S. CCf�(o DATES `1�/�7•L:� <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 each tank. <br /> � Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that <br /> tanks be pumped out every three years. <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 ❑ Poor <br /> �Lake,wetland,or stream ❑High ❑ Inadequate <br /> �Drainage �System is causing visible <br /> surface discharge. <br /> COMMENTS: <br /> � -.�� - s�Y �i. �✓'12�.�. <br /> Date of Inspection Sc�ic 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 />