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On the Sortb Shore of <br />Lake Minnetonka <br />ON SITE SEWAGE TREATMENT ____________ <br />INSRECTiON REPORT POST OFFICE BOX 66 <br />1335 S. SroiMi Rd. <br />Crystal Bay. MN 56323 <br />473-7357 <br />nwNFR ^I^ff^A’rne'Ts ________AnnRC<L<; /V7^ <br />PHONE_______________________PERMIT NO'S. ^ ____________nATFS /e~7J~S^ <br />City Ordinance No. 210 requires that each on-site sewage treatment system in Ororva be inspected on a regular basis. <br />The on-site sewage treatment system at die above address has been inspected and appears to fall into the category checked <br />below: <br />K <br />□ i <br />2 <br />□ 3 <br />□ 4 <br />Meets or exceeds current city standards in aM 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 desi^« 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 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 contKt the inspector to discuss requirements for repairs to your system. Soil testing m^y 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 />Q] Septic tanks must be pumped within 48 hours. <br />rn Drainfieid must be repaired or replaced within 90 days. <br />{ I Inspection riser (4" diam. pipe) must be Installed in each tank. <br />pn 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 />pitot 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 />Wlow <br />n^Medium <br />□ High <br />□ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />W Adequate <br />0Fair <br />□ Poor <br />□ inadequate <br />COMMENTS:. <br />Date of inspection Septic System Inspei^jr^ <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner