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On the North Shore of <br />ON -SITE SEWAGE TREATMENT Lake Minnetonka <br />INSPECTION REPORT CITY POST OFFICE BOX 66 <br />OF 1335 S. Brown Rd. <br />O . O O Crystal Bay,'VIN 55323 <br />473-7357 <br />OWNER M/eS '/� J .}� , 1"tCfi_1/Ltn17_ J/e, ADDRESS(�_X S'T. <br />PHONE PERMIT NO'S. _,4_j'S DATES 6 —Z 2 <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 anu appears to fall into the category checked <br />below: <br />❑ Meets or exceeds current city standards in al! 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 />E-+ 2 to be operating properly. <br />❑ Does not meet current city standards in many respects relating to design, construction, or location. Appear <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 />g4 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 />P'-ase contact the inspector to discuss requirements for repairs to your system. Soil testing may be re- <br />quired. In all cases a desigr and site plan must be submitted for review. Your contractor must obtain a permit <br />before work is started. <br />WORK REQUIRED: <br />ElSeptic tanks must be pumped within 48 hours. <br />1-1 Grainfield must be repaired or replaced within 90 days. <br />inspection riser (4" diam. pipe) must be installed in each tank. <br />Tank inspection indicates maintenance pumpout 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 />❑ 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 />jQ'Systern is causing visibl, <br />surface discharge. <br />COMMENTS:_ /t' Na77G E <br />Lrni <br />Date of Inspection Septic System Insp qt <br />This report must be kopt on the p!emises with system location and pumpi g re%rds. <br />WHITE COPY / Insrector's File GOLD COPY / Homeowner <br />Site Capabilities for <br />Future Expansion <br />Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />