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ON SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER. <br />PHONE. <br />^ ICUAC-I .ADDRESS <br />On the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />. PERMIT NO'S. J j L^SSL nATFS <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 />□ l <br />12:2 <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 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 falling 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 is started. <br />WORK REQUIRED: <br />rn Septic tanks must be pumped within 48 hours. <br />I I Drainfield must be repaired or replaced within 90 days. <br />[~~1 Inspection riser (4" diam. pipe) must be'installed in each tank. <br />[—I 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 />D Slope <br />□Soil <br />□High water table <br />jS^Lot size <br />QLake, wetland, or stream <br />Q Drainage <br />COMMENTS: f>L(EAS€^ CALL- <br />Potential for System Failure Site Capabilities for <br />(depends on soil types, water Future Expansion <br />table, and system condition) Q Adequate <br />□ low □ Fair <br />ISf Medium Poor <br />□ High D Inadequate <br />□ System is causing visible <br />surface discharge. <br />//OS/>eC-T70AJ 77/tr fOtSXT' 7->4AJAs>y <br />Date of Inspection Septic System Inspi <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY/Homeowner