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Orr the Nortb Sbore of <br />ON-SITE SEWAGE TREATMENT Lake ,Slirraetonka <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1336 S. & wn Pd. <br />Crystal Bay, MN tx.323 <br />473-7357 <br />OWNER S' 7fV74A0lJP ADDRESS <br />PHONE PERMIT NO'S. _ DATES <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 />Wow: <br />❑ tMeets or exceeds current city standards in all respects relating to design, construction, and location. Appears <br />to be operating properly. <br />X2 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 />❑ 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 groundwrters, 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 hours. <br />❑ Drainfield must be repaired or replaced within 90 days. <br />Fu •� . <br />Inspection riser (4" diem. pipe) must be installed in each tank. �Q /N Gt„�� .-/y,arct <br />❑ Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that <br />tanks be pumped o Pee years. <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />fir&ope <br />❑Soil <br />C] High water table <br />❑ Lot size <br />DRcake, wetland, or stream? <br />❑Drainage <br />COMMENTS: <br />Date of Inspection <br />Potential for System Failure <br />Site Capabilities for <br />(depends on soil types, water <br />Future Expansion <br />table, and system condition) <br />❑* " Jequate <br />❑ Low <br />J9 Fair <br />Medium <br />❑ Poor <br />❑ High <br />❑ In ufequate <br />❑ System is causing visible <br />surface discharge. <br />Septic Sy's temjIfspector <br />This report must !— kept on the premises with system location and pumping records. <br />WHITE CO?Y / Inspector's File GOLD COPY / Homeowner <br />