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ON SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER. <br />PHONE.. PERMIT NO'S. <"^3 <br />0» tbf North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal B«y.MN 55323 <br />473-7357 <br />ADDRESS /SO/ RA^ AcAO <br />DATES. <br />City Ordinance No. 210 require* 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 />\S2 <br />□ 3 <br />4 <br />Meets or exceeds current city standards in ail 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. Appean <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 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 />n Septic tanks must be pumped within 48 hours. <br />n Drainfield must be repaired or replaced within 90 days. <br />I I 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 />Lin sting Site Factors <br />G Slope <br />□ Soil <br />□ High water table <br />□ Lot size <br />□ Lake, wetland, or stream <br />□ Drainage <br />COMMENTS:.y THiA^ <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />JSClow <br />□ Medium <br />□ High <br />□ System is causing visible <br />surface discharge. <br />/cofe-s <br />Site Capabilities for <br />Future Expansion <br />fg Adequate <br />□ Fair <br />□ Poor <br />□ Inadequate <br />'VO- <br />Date of Inspection <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner