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On the North Shore of <br /> Lake Minnetonka <br /> ON-SITE SEWAGE TREATMENT <br /> INSPECTION REPORT POST OFFICE BOX 66 <br /> • <br /> 1335 S. Brown Rd. <br /> � _ � � Crystal Bay, MN 55323 <br /> ND2�w �� /�Vl�N�2 <br /> 4�3-7357 <br /> OWNER�ANDQ,�t� �, �//U�l� ADDRESS 3 g�0 �fF`fS/D�' /�D <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 /> ❑ Z Meets or exceeds current city standards 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 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. <br /> � Inspsction riser (4"diam. pipe) must be installed in each tank. <br /> � Tank inspection indicates m ' e pumpout is needed as soon as possible. City ordinance requires that <br /> tanks be pumpe out every three years. <br /> SITE CHARACTERISTICS: <br /> Limiting Site Factors Potential for System Failure Site Capabilities for <br /> ❑Slope (depends on soil types,water Future Expansion <br /> • ❑Soil table,and system condition) � Adequate <br /> ❑High water table ❑ Low ❑ Fair <br /> ❑Lot size ❑Medium ❑ Poor <br /> ❑Lake,wetland,or stream ❑High ❑ Inadequate <br /> �Drainage �ystem is causing visible <br /> surface discharge. <br /> COMMENTS: S�E i4T7�H�'1�t�7'l!?S �3� �IDV�� L�'�'7Q <br /> l/ -� -g 3 �yi�.�0 <br /> Date of Inspection Septic Syst nspector <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 />