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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />r)n the %orrh Shrrre of <br />I ake tfrrrrretonkd <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />-ystal Bay, MN 55323 <br />4737357 <br />OWNER LE521M 6�,A111-ZADDRESS.3VQ BAYS/Pf /� <br />PHONE _ PERMIT NOS. _ — DATES— <br />City Ordinance No. 210 requires that each on-site sewage treatment system in Orono he 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 rategory checked <br />below <br />Meets or exceeds current city standards in all respects relating to des -gr., 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 />92- to be operating properly. riOCA rw,F/eta SYi-Cs <br />❑ Does not meet current city standards in many respects relating to design, construction, or location. Appears <br />to be operating adequately. <br />D 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 grcundwatert, 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 />0 Drarnfield must be repaired or replaced within 90 days <br />Inspection riser (4" diem. pipe) must be installed in each tank. O K <br />Tank inspection indicates maintenance pumpout is needed as soon as possible City ordinance requires that <br />tanks be pumped o every three years. <br />SITE CHARACTERISTICS. <br />Limiting Site Factors Potential for System Failure Site Capabilities for <br />Slope (depends on soil types, water Future Expansion <br />❑S3il table, and system condition) ❑ Adequate <br />❑High seater table ❑ Low 9 Fair <br />❑Lot size Medium ❑ Poor <br />[]Lake, wetland, or stream ❑ High (] Inadequate <br />,brainage ❑ System is causing visible <br />surface discharge. <br />COMMENTS ---- ---- - - ----- <br />-t <br />Date of Inspection Septic SysteffirUspectot <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 />