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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1336 S. Brown Rd. <br />Crystal Bay, MN 56323 <br />473-7367 <br />OWNER_^_Cfi££ g ^ ■ P/Li^ <br />PHONE_______________________PERMIT NO'S, _ <br />Annppfifi /32.0 StsAC-k^rr^ Pr. , <br />____________________DATES_____________________ <br />City Ordinanct No. 210 rtquiret that each on-sita tawage traatmant tyttam in Orono ba inspactad on a regular basis. <br />TN on-sita sawaga Oaatmant systam at tha abova addrass has bean inspactad and appears to fall into the category chacfcad <br />below: <br />□ l <br />^2 <br />□ 3 <br />□ 4 <br />Meats or axoaads currant dty standards In all respects relating to design, construction, and location. Appaan <br />to ba operating properly. <br />Does not meat currant city standards in tome respects relating to design, construction, or location. Appears <br />to ba operating properly. <br />Does not meet currant city standards in many respects relating to design, construction, or location. Appears <br />to ba operating adaquataly. <br />Does not meet currant city standards of design, construction or location, it being overused, or is failing to <br />properly treat and dispose of the current input and it therefore endangering a water supply, it a source of <br />pollution to surface or groundwaters, is creating a safety hazard, or it otherwise creating a public nuisance. <br />Flease contact the inspector to discuss requirements for repairs to your tyttam. Soil testing may ba re­ <br />quired. In all cates a design and site plan mutt be submitted for review. Your contractor must obtain a permit <br />before work it started. <br />WORK REQUIRED: <br />n Septic tanks must be pumped within <*o nours. <br />r~l Orainfield must be repaired or replaced within 90 days.wi«niii«iu iiiu9i uv uv iwiuisii w u«y»« ^ ^ ^ ^ <br />r~| Inspection riser (4"diam. pipe) mutt be installed in each tank. <br />Tank intpection ksdicatat maintanance pumpout it needed as looisaa pesiible. City ordinaiKe requires that <br />^ tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factora <br />□ Slope <br />□ Soil <br />B^igh water table <br />□ Lot size <br />^ELake. wetland, or stream <br />□Drainage <br />Potential for System Failure <br />(depends on toil types, water <br />table, arsd system condition) <br />□ Low <br />)|(Medium <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 />COMMENTS:. <br />Date of Intpection Septic System Ji4^t^ <br />This report mutt be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner