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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Sbore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473.7357 <br />OWNER XJ�Cf-' ^"_r' t1 --ADDRESS. 2 05_c. C�-..,.v f" ly%I nF D—PE, <br />PHONE <br />PERMIT NO'S.�/ DATES - 7- -z,1.. & ,� <br />City Ordinance No. 210 requires that each onsite 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 />Meets or exceeds current city standa,ds in all 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 he nneratinn nrnnprly <br />❑ Does not meet current city standards in many respects relating to design, construction, or location. A. <br />to be noeratino arlenuatply <br />❑ Does not meet current city standards of design, construction or location, is being overused, or is tailing 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 creat;ng 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 cages 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 withr, -it; hours. <br />❑ Drainfield must be repaired or replaced within 90 clays. <br />Inspection riser (4" diam. pipe) must be installed in each tank. <br />Tank inspection indicates maintenance pumpout is needed as soon :.s 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 />1Xq03'k"1igh water table <br />❑ Lot size <br />[]Lake, wetland, ur stream <br />❑Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />,91 -ow <br />Cl Medium <br />❑ High <br />❑ System is car,cing visible <br />surfarf, discharge. <br />CGMMENTS:_AU­�- ,���T/�i Y'iil `C"\J I's, <br />Date of Inspection Septic Sys/42pector <br />This report must be kept on the premises with system location and numping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner <br />Site Capabilities for <br />Future Expansion <br />VAdequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />