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ON-SITE SEWAGE TREATMENT <br />INSPECIION REPORT <br />'a; <br />Off the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal BiV,MN 56323 <br />473-7367 <br />OWNER. <br />PHONE. <br />A/a/POLI> lO S>UJeATT ^Tayg^Annppgg ^ 9 Pt. ..ADDRESS. <br />no <br />, PERMIT NO'S. _S^12_DATES /Z-/» <br />City Ordinance No. 210 squires 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 fail into the category checked <br />below: <br />Meett or exceeds current city standards in ali respects relating to design, construction, and location. Appears <br />to be operating properly. <br />Does not meet current city standards in tome 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, it a source of <br />pollution to surface or groundwaters, it creating a safety hazard, or it 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 mutt be submitted for review. Your contractor mutt obtain a permit <br />before work it started. <br />WORK REQUIRED: <br />U <br />n Septic tanks mutt be pumped within 48 hours. <br />r~| Drainfieid mutt be repaired or replaced within 90 days. <br />Inspection riser (4" diam. pipe) must be installed in each tank.((OHCAJ <br />r~| Tank inspection indicates maintenance pumpout is needed as toon 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 />Jte(Lake. wetland, or stream <br />□Drainage <br />Potential for System Failure <br />{depends on toil types, water <br />table, and system condition) <br />□ low <br />^^edium <br />□ High <br />□ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />Adequate <br />□ Fair <br />□ Poor <br />□ Inadequate <br />mMMPMTR- SVttTVgAf ^ C.O&/K) AoJT^ ^OOL 'f O <br />I ALTUnu/’^^/ A)oT /aJ iggy9»//0 <br />AJryu -r*1/AJ 8g~ TfHS' . <br />Date of Inspection Septic System Ini^lct^ • <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner.