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On the Nortb Sbore of <br />Lake Minnetonka <br />ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473.7357 <br />OWNER II6k tO2T A , ADDRESS /33S 9Rj,4,P_ ST <br />PHONE PERMIT NO'S. 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 />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 />X3 Does not meet current city standards in many respects 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 o+erused, 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 groundwater, 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 started. <br />WORK REQUIRED: <br />❑ Septic tanks must be pumped within 48 hour%. <br />Drainfield must be repaired or replaced within 90 days. <br />Inspection riser (4" diam. pipe) must be installed in each tank. <br />❑ Tank inspection indicates maintenance pumpout is needed 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 />figi.ot size <br />[]Lake, wetland, or stream <br />❑Drainage <br />COMMENTS: <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 />Date of Inspection Septic System In <br />Cit,, ordinance requires that <br />This report must be kept on the premises with system location and , rmping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowr er <br />Site Capabilities for <br />Future Expansion <br />0 Adequate <br />❑ Fair <br />Poor <br />Inadequate <br />