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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER_E� _-------D�.}- <br />PHONE <br />PERMIT NO'S. <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 />ADDRESS_--- <br />DATES .— <br />City Ordinance No. 210 requires that ^ach 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. Appea•:i <br />to be operating properly. <br />r-}/� Does not meet current city standards in some respects relating to desiqn, 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 />F1 4 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 mist 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 />Inspection riser (4" diam. pipe) must be installed in each tank.( I F /'SLI //j <br />0 <br />Tank <br />inspection <br />indicates <br />maintenance pumpout is needed as soon as possible <br />tanks <br />be pumped <br />out every <br />three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />[(High water -able <br />LM sire <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 . -.:ble <br />surface discharge. <br />At_�'EAA`!) <br />City ordinance requires that <br />Date of Inspection Septic System In *r <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY 'Homeowner <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />Fair <br />Poor <br />❑ Inadequate <br />