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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />CITY POST OFFICE BOX 66 <br />'5 S. Brown Rd. <br />O . O O 4 Bay, MN 55323 <br />►7 <br />r6 <br />OWNERS�� ie 6GC1�L_4 nhV ADDRESS CN/PPE" A IANC <br />PHONE <br />PERMIT NO'S. <br />/9 <br />'? 7 <br />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 peen inspected and appears to fall into the category checked <br />below: <br />E]meetsor exceeds current city standards in all respects relating to design, construction, and location. Appears <br />to be operating proper ly. <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 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 />❑ Drainfield must be repaired or replaced within 90 days. NO'r <br />VInspection riser (4" diam, pipe) must be installed in each tank. <br />F-1 Tank inspection indicates maintenance pumpout is needed as soon as possiblE <br />I__ 1 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 />babrainage <br />Poter tial 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 />A,e KCho Y 174 -r -E <br />City ordinance requires that <br />Site Capabilities for <br />Future Exp,..ision <br />❑ Adequate <br />Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS:_ S`rlT-Y-\ /'J CE _ 6CAT-U t!h .. -PL EAitr Gif. L Fn r` Pc: Cy1ni✓ <br />Date of Inspection <br />Septic System Insp <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLL COPY / Homeowner <br />