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On the North Shore of <br />ON -SITE SEWAGE TREATMENT Lake Minnetonka <br />INSPECTION REPORT CITY POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />O . ONO Crystal Bay, MN 55323 <br />473-7357 <br />OWNER PE/LLY iN, t'tEILJNCs ADDRESS_ 3�IS N. F� IbALIr eA <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 Ic-a' ,. Appears <br />to be operating properly. <br />Does not meet current city standards in some respects relating to design, construction, or location. Appears <br />X2 to be operating properly. <br />❑ Does not meet current city standards it nany respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />❑ Does nr 'tet current city standards of design, construction or location, is being overused, or is failing to <br />DrODerly treat and dispose of the current input and is therefnre endannerinn a water clinnlu it a enairro n4 <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. <br />Drainfield must be repaired c- replaced within 9G days. <br />Inspection riser (4" diam. pipe) must be installtrf 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 />❑Lake, wetland, or stream <br />®Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />❑ Low <br />IffMedium <br />❑ High <br />❑ Systein is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS: IF A�414.jf&E DCr—WeS JN ZANE r=1d71A'�F. C—IrY lN44 1ACFLY <br />AEWbc lPeA-- ADD/NG �.e��N�/EZi� �; NO WQRK__j fjr es A 4ins we Y ,4 i" <br />Date of Inspection Septic System pector <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's Fil- GC 7 COPY / Homeowner <br />