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ON -SITE SEWAGE TREAT►,IENT <br />INSPECTION REPOT+ t <br />OWNER <br />On the North Sbore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />� =MN 55323 <br />47373577' <br />_-__ADDRESS C� ClcSTl�� a_) <br />PHONE _ PERMIT NO'S. _ — 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 sto 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 />ElDoes not meet current city standards in marry 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 />;E�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 must obtain a permit <br />before work is started. <br />WORK REQUIRED: <br />0 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 -teach tank. <br />Cx'fank inspection indicates maintenance pumpout is needed as soon as possible <br />�l 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 />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />[3 Low <br />❑ Medium <br />❑ High <br />[] System is causing visible <br />surface discharge. <br />City ordinance requires that <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS: <br />— 1,�' -7 C r 7Lf c art ` "`> >Sc t � I S' 7� -/v , C • 7 1� . <br />-- <br />Date of Inspection Septic Systev(, spector <br />This report must he kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner <br />