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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 />1335 S. Brown Rd. <br />O . O O Crystal Bay, MN 5532 <br />ilk -A 473-7357 <br />OWNER r-AR 1LL RAC 44,4A.) ADDRESS A24?U `'' <br />PHONE PERMITNO'S. &R2-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 />Dg�i to be operating properly. <br />Does not meat 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 />a 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 currer.L 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. S-r- (9t- <br />❑ Drainfield must be repaired or replaced within 90 o..,s. �L` S �SNfZr- <br />❑ Inspection riser (4" diam. pipe) must be installed in each tank. K <br />❑ Tank inspection indj'S4jc&jnALa umpout is needed as soon as possible. City ordinance requires that <br />tanks be pumped out every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />rl— <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 />jeLow <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />COMMENTS: ET L %V_7QY1Vb S 7'SrJV?AL OoKt V&_)CY Good <br />Date of Inspection <br />Site Capabilities for <br />Future Expansion <br />Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />.S <br />Zy d -� Y�5 /,V �Ve / 17 <br />Septic System ector v ?V V <br />This report must be kept on the p•emises with system location and pumping records. <br />WHITE CC, , / Inspector's File GOLD COPY / Homeowner <br />