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On the North Shore of <br />ON -SITE SEWAGE TREATMENT Lake Minnetonka <br />INSPECTION REPORT POST OFF.ZE BOX 66 <br />1335 S. Brown Rd. <br />O . ONO Crystal Bay, MN 55323 <br />ilk Ad <br />jj�� /473-7357 <br />OWNER__DO9AIAC.D / /�/J "ILMIJ ADDRESS_270 C►C9S' 116-Uj <br />PHONE PERMIT NO'S. "" __ 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 />❑ Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears <br />to be operating properly. <br />L�:;-4s not meet current city standards in some respects relating to design, construction, or location. Appears <br />X2 t.., be operating properly. <br />ElDoes not meet current city standards in many respects relating to design, construction, or location. Appe.vs <br />to be operating adequately. <br />❑ Does not meet current city standards of design, ,nstructior -)r location, is being overused, or is failing to <br />properly treat and dispose of the current input and is there; -re endangering a water supply, is a source of <br />pollution to surface or groundwaters, is creating a safety hazai J or is otherwise creating a public nuisance. <br />Please contact the inspector to discuss requirements for repairs to yo:r 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 <br />.)ection riser (4" diam. pipe) must be installed in each tank. <br />❑ fank inspection indicates maintenance pumpout is needed as soon as possible <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />Soil <br />❑High water table <br />XLot size <br />❑Lake, wetland, or stream <br />❑Drainage <br />COMMENTS: <br />-3D_8D <br />Date of Inspection <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 />Septic System I <br />City ordinance requires that <br />Site Capabilitie! for <br />Future Expansion <br />❑ Adequate <br />] Fair <br />Poor <br />❑ Inadequate <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner <br />