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ON -SITE SEWAGE TREATMENT <br />INSPECTION! REPORT <br />On the North Shore of <br />Lake Minnetonka <br />CITY POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />ORONO Crystal Bay, MN 55323 <br />473-7357 <br />OWNER �bGre Y.�r, ADDRESS <br />PHONE _ PERMIT NO'S. 196-3 DATES ' _ -I ?% <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 locution. Appears <br />to be operating properly. <br />/ Does not meet current rity standards in some respects relating to design, construction, or location. Appears <br />Ifr�j to be 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 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 s started. <br />WORK REOUiRED: <br />71 Septic tanks mus+ 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 each tank. <br />❑ Tank inspection indicates maintes.ance 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, wetlard, or stream <br />❑Drainage <br />COMMENTS:_ <br />Potential for System Failure <br />Site Capabilities for <br />(depends on so.l types, water <br />1-uture Expansion <br />table, and system condition) <br />❑ Adequate <br />❑ Low <br />Fair <br />�4ledium <br />❑ Poor <br />❑ High <br />❑ Inadequate <br />❑ 5, wrn is causing visible <br />surface discharge. <br />T <br />Date of Inspection Septic System Ins r <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 />