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ON-SITE SEWAGE TREATMENT <br />INMCTION REPORT 11 <br />OWNER <br />PHONE _ PERMIT NO'S <br />On the .Yo►tb Sbonr of <br />Like Misroemnike <br />POST OFFICE SOX a <br />13.,'6 S. aowe Rd. <br />Crystal bwr, MN NW3 <br />173-7.167 <br />DATES - <br />City Ordinance No. 210 requires that each onsite sewage treatment system in Orono be inspem on a requler basis. <br />The on-site sewage treatment system at the above address has been inspected and appears to fall into the category chocked <br />below: <br />❑ Maori or exceed, current city standards in all respects relating to design, construction, and location. Apgars <br />to ba operating properly. <br />��* Does not meet current city standards in tome respects relating to design, construction, or location. Appears <br />11�Xi1 to be operating proparN. <br />❑ Does not most current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />Don nor meet current city standards of design, construction or location, is being overused, or is failing to <br />04 Property treat and dispose of the current input and is therefore endangering a water supply, is a source of <br />poli. tion to surface or groundwater, is treating 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 cam a design ar'd site plan must be submitted for review. Your contractor must obtain a permit <br />before wort( is stalled. <br />WORK REQUIRED:Pilo- <br />,,rs <br />Septic treks must be pumped within ore hours. � ..n,, �}�'r- <br />Drainfield must be repaired or replaced within 90 days. LIN �fN pT A<<E/0 <br />: ( r <br />M Inspection riser (41" diem. pipe) must be installed in each tank. OA <br />/❑� Tank inspection indicate maintenance pumpout is needed as soon as possible. City ordinance retUirn that <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />Potential for System Failure <br />Site Capabilities for <br />❑slope <br />(depends on soil types, water <br />Future Expansion <br />❑Soil <br />table, and system condition) <br />U Adequate <br />opigh water table <br />Cj Low <br />O Farr <br />C] Lot size <br />❑ Medium <br />[:3 Poor <br />❑Lake, wetland, or stream <br />L] High <br />❑ Inadequate <br />❑Drainage <br />'r] System is causinq visible <br />surface discharge. <br />COMMENTS `Gov L ' NST <br />L CrCA7f VEIN �� FCr.AtF <br />Date of Inspection Septic Syste n pector <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 />