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ON SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER <br />PHONE. <br />On the North Shore of <br />Lake Atii:retonka <br />POST OFFiCE SOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 56323 <br />473-7357 <br />____ADDRESS *773 3. /Ct> , <br />PERMIT NO'S. ~77.*/C>_________DATES ---------- <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 />^1 <br />□ 3 <br />□ 4 <br />Meets or exceeds current city standards in alt 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 failir g to <br />properly treat and dispose of the current input and is therufore endangering a witer supply, is a source of <br />pollution to surface or groundwaters, is creating a safety hazard, or ’*$ otherwise creating a public nuisance. <br />Please contact the inspector to discuss requirements for repairs to your system. Soli testing may be re­ <br />quired. In all cases a design and site plan must be submitted foi 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 />P" Drainfield must be repaired or replaced within 80 days. <br />Inspection riser (4" diam. pipe) must be installed in each tank. 0^ <br />Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance rtquirts 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 />□ Lake, wetland, or stream <br />□Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />Low <br />□ Medium <br />□ High <br />□ System is causing visible <br />Site Capabiiitief for <br />Future Expansion <br />^Adequate <br />□ Fair <br />□ Poor <br />□ Inadequate <br />surface discharge. <br />rnMMPMTS JSOCM ^IS7S /"AtT TO <br />Date of Inspection Septic ^stemj^ <br />Thit report muit be kept on the premiies with system location and pumping record!. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner