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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nortit Shore of <br />Lake Minnetonka <br />1 '' iI O R C1N f » J <br />POST OFFICE BOX 66 <br />1336 S. Brown Rd. <br />Crystal Bay, MN 66323 <br />473-7367 <br />OWNER. <br />PHONE. <br />—^ 7^------^ C>^/vt f T"_______ADDRESS ^49 <br />--------------------------PERMIT NO'S. - ___________OATES —n___________ <br />City Ordinanot No. 210 raqulret 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 />□ l <br />K2 <br />□ 3 <br />□ 4 <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 ba 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 saf^ hazard, or it 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 arid site plan must be submitted for review. Your contractor must obtain a permit <br />before work is started. <br />WORK REQUIRED: <br />n Septic tanks must be pumped within 48 hours. <br />n Orainfield must be repaired or replaced within W days. <br />n Inspection riser |4" diam. pipe) must be installed in each tank. <br />I I Inspection indicates maintenance pumpout is needed as soon as pouible. 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 />M-ot sin <br />OLjke, wetland, or stream <br />pforainaoe <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />□ Low <br />^StMedium <br />□ High <br />□ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />□ Adequate <br />KFair <br />□ Poor <br />□ inadequate <br />COMMENTS^ <br />Date of inspection Septic System In <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 />f