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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER Asr _ /, HoC/STE/VSu/V ADDRESS <br />PHONE <br />PERMIT NO'S. <br />On the North Shore of <br />Lake Minnetonka <br />POST GFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <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 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 />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 ca • s a design and site pl;,, 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 />F] Drainfield must be repaired or replaced within 90 days. <br />D9Inspection riser (4" diam. pipe) must be installed in each tank. (No<r 'MMC- T%UK1- ARa— f'r.n+iecjc) <br />❑ Tank <br />inspection <br />indicates <br />maintenance pumpout is needed as soon as possible. City ordinance requires that <br />tanks <br />be pumped <br />out every <br />three years. <br />SITE CHARACTFRISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑High water table <br />XCot 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 />SepticSyste nspector <br />This report must be kept on the <br />premises with <br />system location and <br />pumpinc records. <br />WHITE COPY ! Inspector's <br />File <br />GOLD COPY <br />Homeowner <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />