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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Sbore of <br />Lake ,Uinnetonka <br />CITY POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />OF Crystal Bay, MN 55323 <br />O_ O O 473-7357 <br />OWNER ' 1�- E/V,SO/Li -- ADDRESS Z1% S CY//p�ErG-J14 ZAJ <br />PHONE PERMIT NO'S. AS 7C �7 DATES2 Zi3 67 /v 63 <br />Citv linance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. <br />The i•n-:'U: ,Pwage treatment system at the above address has been inspected and appears to fall into the category checked <br />below: <br />❑ Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears <br />to be operating properly. <br />F1-*� 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 />ElDoes 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 />❑ Septic tanks must be pumped within 48 hours. <br />El Drainfield must be repaired or repl-ced within 90 days. <br />�pection riser (4" diam. pipe) must be installed in each tank. - IF <br />❑ Tank inspection indicates m' e pumpout is needed as soon as possible. City ordinance requires that <br />tanks be pumped , every three years. <br />11�_ <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 />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS:- rzCASEAI-G- t:6IC AVS `rC 7Z0—V ln)AA& J }bt-f 4,014 4- <br />X f S razm A)e - LC;)c <br />Date of Inspection Septic System <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's Filp GOLD COPY / Homeowner <br />