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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 C►T-,'QF0 8AJ0 - PsTOFFieE ADDRESS 1355 aCOCOIJ i D, S <br />PHONE <br />PERMIT NO'S. Bi° /02U DATES 9 —2-6- - 6-0 <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 inspdcted 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 />92 to be operating properly. <br />a Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />a 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 />❑ Septic tanks must be pumped within 48 hours. 7-Af'j C <br />Drainfield must be repaired or replaced within 90 days. R�� <br />Inspection riser (4" diam. pipe) must be installed in each tank. " <br />❑ Tank inspection indicates maintenance pumpout 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 />F] Lake, wetland, or stream <br />❑Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table <br />/ and system conditioXn) <br />IR ow iv &- DC NK/LFNr <br />❑"`Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />X Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS:_Atiy 544l6579N-i74L /IU USi4Gf�/1'1/GffirTlJt�tSS/T4T <br />Date of Inspection <br />This report must be kept on the premises mth system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner <br />