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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nortb Sbore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473.7357 <br />OWNER 466;C7— S, D _. ADDRESS. 76' / S19 yslDc- <br />PHONE PERMIT NOBS. _ PATES <br />C/uo PEu,,Atr cAj FILE <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 />4 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 ::ar.ed. <br />WORK REQUIRED: <br />❑ Septic tanks mist be pumped within 48 hours. S Q -A1,00.3 <br />, <br />�rrF <br />Drainfield must be repaired or replaced within 90 days. Set -r <br />Inspection nier (4" diem, pipe) must be installed in each tank. <br />Tank insp&;tions indicates maintenance pumpout is needed as soon as possible City ordinance requires that <br />tanks be pu nped out every three years.* rA It c t � Sn" S.tyS 7'}k Y J#o4s'e •J ' T- iliaeV 9Ec-P-) <br />rt4M rLAA ekT ��u L?�N�T F/N L� YrANrS <br />SITE CHARACTERISTI,;S: <br />Limiting Site Factors <br />Slope <br />❑ Soil <br />E] High water table <br />E] Lot size <br />E] Lake, wetland, or cream <br />❑Drainag <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condrOonl <br />❑ Low <br />❑ Medium <br />❑ High <br />'C';Kystern is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />`E�[ Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS: g8AGE MP s iU ISE lecsr.J-r4±uD LW4L-N d ZXAc70(2 — aur <br />NAY OF A WnrCSE PjCvgt&?, . Le. c L.)r ./^uG D rt - -M j_Ae_K <br />oC C Nc R �.Nks P"-4 00 T L nvE� r/Jen r�r.4ck,� <br />xcrr ,QµJ eyE OAA Ir • Ovew T}#E tAO /N'i'E•4 W6'11. i- LC I Ater /T A6A/IJ /N <br />Date of Inspection Se 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 />