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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER <br />PHONE <br />/J <br />PERMIT NO'S. <br />On the .North Shore of <br />Lake 11innetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />DDRESS I&R-f &20 (!N 7. <_:::�, <br />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 wen 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 />X2 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 />❑ Do::s 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 grout dvvaters, 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 iesting may be re- <br />quired. In all cases a desirn 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 />ElDrainfield must be repaired or replaced within 90 days. <br />VInspection riser 14" diam. pipe) must be installed in each tank.CapU ONE /AJ <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 />El High water table <br />XLot size <br />❑ Lake, wetland, or stream <br />❑Drainage <br />COMME <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 />Z• --v rAfj K <br />City ordinance requires that <br />Septic System In for <br />This report must be kept on the <br />premises <br />with system location and <br />pumping records. <br />WHITE COPY / Inspector's <br />File <br />GOLD COPY / <br />Homeowner <br />Site Capabilities for <br />Future <br />Expansion <br />❑ <br />Adequate <br />Fair <br />❑ <br />Poor <br />❑ <br />Inadequate <br />