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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER. <br />PHONE. <br />.ADDRESS. <br />.PERMIT NO'S..I^IS DATES /fe ioTt <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 />IE12 <br />□ 3 <br />□ 4 <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 />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 started. <br />WORK REQUIRED: <br />rn Septic tanks must be pumped within 48 hours. <br />n Drainfield must be repaired or replaced within 90 days. <br />^ Inspection riser (4" diam, pipe) must be installed in each tank. A/S XT <br />rn Tank Inspection indicates maintenance pumpo-jt is needed as soon as possible. City ordinance requires that <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 />Site Capabilities for <br />Future Expansion <br />(g. Adequate <br />□ Fair <br />□ Poor <br />□ Inadequate <br />Potential for System Failure <br />{depends on soil types, water <br />table, and system condition) <br />B’Low <br />□ Medium <br />□ High <br />□ System is causing visible <br />surface discharge. <br />rnMMCMTC- U' A/07~^ <br />Date of Inspection pic 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