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ON SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Uke Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystil Bey, MN 56323 <br />473^7367 <br />QWNgR <br />PHONE__________ <br />.ADDRESS. <br />. PERMIT MO'S 4 Z3Z ^. DATES. <br />/rwa: <br />City Ordinance No. 210 requires that each on site Mwage 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 />□ l <br />□ 3 <br />□ 4 <br />Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears <br />to be operating properiy. <br />Ones 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 sundards in many respecu 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 />properiy ueat 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 publie 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 conuactor must obtain a permit <br />before work is started. <br />WORK REQUIRED: <br />n Septic tanks must be pumped within 48 hours. <br />I I Orainfield must be repaired or replaced within 90 days. <br />n Inspection riser (4" diam. pipe) must be insulled in each tank. Oi^ <br />I <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 />SITECHARACTERiSTICS: <br />Limiting Site Factors <br />□ Slope <br />□ Soil <br />□ High water table <br />□ Lot size <br />JOLake. wetland, or stream i <br />□Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />□ Low <br />J^Medium <br />□ High <br />□ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />□ Adequate <br />«Fair <br />^Poor <br />□ Inadequate <br />COMMENTS:. <br />Date of Inspection <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner