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On the .\'orth Short, of <br />Lake .i linnetonka <br />ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT CITY POST OFFICE BOX 66 <br />OF 1335 S. Brown Rd. <br />O _ O O Crystal Bay, MN 55323 <br />473-7357 <br />OWNERS,cY 1K, EiC/NTL1 f = ADDRESS 12-61 &u uc S'T <br />PHONE PERMIT NO'S DATES DATES — <br />City Ordinance No. 210 requires that each onsite 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 />E]Meets or exceeds current city standards in all : - ,sects 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 />w Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />3 to be operating adequately. <br />Does not meet current city standards of design, construe ion 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 cre&ting 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 clays. <br />ElInspection riser (4" diam, pipe) must be installed in each tank. <br />Tank inspection indicates maintenance pumpout is ncedeJ as soon as possible <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑High water table <br />)<Lot size <br />❑Lake, wetland, or stream <br />❑Drainage <br />COMMENTS: __- <br />Date of Inspection <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />❑ Low <br />Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />City ordinance requires that <br />Septic Syst ' r(spector <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 />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />XPoor <br />❑ Inadequate <br />