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On the Nortb Sbore of <br />Lake ,Winnetonka <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNERjCLISSE 1-L Z-_­*( +k1rrCk_ ADDRESS _ �61—;> 4! <br />PHONE PERMIT NO-S. �S, 9 ", 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. Al ^:ars <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 />04 properly treat and dispose of the c,irrent 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 s"e plan must be submitted `^r review. Your contractor must obtain a perm t <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 />ElInspectu,n riser (4" dram. pipe) must be installed in each tank. <br />Tank inspection mdicate ars. pumpout is needed as soon as possible <br />tanks be Dumped t every three ye <br />-- � <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />[J Soi I <br />❑High water table <br />[]Lot size <br />[Lake, wetland, or strearn <br />❑Drainage <br />Pot^ntial 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 />City ordinance requires that <br />Site Capabilities for <br />Future Expansion <br />XAdequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS: Afjo:AR-S -rr, Bt f46LeGT7wL 5/n:,-E P/it S <br />/bat eyLITT 6 FLE S , IT /S -M 72Z L klft TNer— _rANX 3 <br />�'4f�wfsDuT j k) _J!I�yE /OU 71"1' 71k,"V 44t r <br />N /'vtM/'c'I� S/� C4: /NSTR t trq�70N SNC Gw.. �7 � Pit 'E'er �'u T /or -r e'Y <br />XZA <br />Date of Inspection Septic System for <br />Gvf t7Lt/Aj kA !;7 A,4-' S ' <br />This report must be kept on the premises with system location and pumping records <br />"VHITE COPY / Inspector's File GOLD COPY / Homeowner - <br />