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On the Nortb Sbore of <br />Lake Minnetonka <br />ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER eoRc2c A IOF+NrGyU ADDRESS979 d&i0t,,JA) <br />PHONE PERMIT NO'S. 0&,=i(DATES 2_2y_71 <br />City Ordinance No. 210 requires that e, -ch 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 />0Z Does not meet current city standards in some respects relating to design, construction, or lo,.ation. 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 suhmitted 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 />Inspection riser (4" diam. pipe) must be installed in each tank. <br />❑ Tank inspection indicates maintenance pumpout is needed as won as possible <br />tanks be pumped out evrry 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 />COMMENTS: <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 />City ordinance requires that <br />7� <br />Date of Inspection Septic System Insp <br />This report must be kept on the premises with system locatir t, and pumping records. <br />WHITE COPY / Inspector's File GOLD C(VY / Homeowner <br />Site Capabilities for <br />Futur Expansion <br />nAdequate <br />Fair <br />❑ Poor <br />L] Inadequate <br />