Laserfiche WebLink
Urz fbe .Vortb .Shun• of <br />take illom •tonka <br />ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />IN 473.7357 <br />OWNER Ka/ -Jf /Ian /V —ADDRESS eq.. Af Srr",J!V L_ <br />PHONE---- PERMIT NO'S DATES <br />City Ordnance No 210 requires that each on site sewage treatment system in Orono be inspected on a regular tush <br />The on site sewage treatment system at the abo,,e address has been inspected and appears to fall into the category checked <br />below. <br />F] Meets or exceeds current city randaids in all respects relating to design, construction, and location. Appears <br />to be operating properly. <br />Does not meet curre.it city standards in same respects relating to design, construction, or location. Appears <br />02 to be operating properly. <br />Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />113 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 wale( 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 stir plan must be submilled for review. Your contractor must obtain a permit <br />before work is started. <br />WORK REQUIRED <br />L Septic tanks must be pumped within 48 hours. <br />EJDramfield must be repaired or replaced within 9G days <br />Inspection riser 14" diem pipe) must he installed in each tank OK <br />❑ Tank inspection indicates maintenance pwmpout is needed as soon M possible City ordinance rer'zires that <br />tanks be pumped out every throe years <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />Potential for System Failure <br />Site Capabilities for <br />Slope <br />Itlepends on sod types, water <br />Futuro Expansion <br />❑ Sod <br />table, and system condition) <br />❑ Adequate <br />High water table <br />XLosv <br />J, Fair <br />[]Lot size <br />❑ Medium <br />❑ Poor <br />Lake, wetfand, or str-am <br />❑ High <br />❑ Inad«quate <br />❑Drainage <br />❑ System iscausing visible <br />surface discharge <br />COMMENTS '7RA1F S S7144- <br />SGiN cart T Lin .)CCA/Zi-L, <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 ifHomeowner <br />