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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nortb Sbore of <br />Lake Afinnetonka <br />POST OFFICE B',X 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER,J ADDRESS. 3 7S�f) rA+/ynF �D <br />PHONE PERMIT NO'S. SD/Z DATES --7% <br />City Ordinance No. 2.0 requires that each urr-site sewage treatment system in Orono be inspected on a regular bn,is <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 />�Xto be operating properly. <br />Does not meet current city standards in some respects relating to design, construction, nr 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 />04 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 cieati.rg 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. /our contractor most 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 />❑ Inspectiun riser (4" diam. pipe) must be installed in each tar K. VK <br />❑ Tank inspection indicates ma ce pumpout is needed as soon as possible <br />tanks be pumpe ut every three years. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />Soil <br />Oigh water table <br />[-]Lot size <br />❑Lake, wetland, or stream <br />[]Drainage <br />COMMENTS: <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />0 Low <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />City ordinance requires that <br />Dote of Inspection Septic System pector <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 />Site Capabilities for <br />Future Expansion <br />XAdequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />