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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER �fUHNL'fiV/S�_ - ADDRESS _20 R7>. `S '— <br />PHONE PERMITNO'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 onsite sewage treatment system at the above address has teen inspected and appears to fall into the category checked <br />below: <br />❑ Meets or exceeds current city standards in ?II respects relating to design, construction, and location. Appears <br />to be operating properly. <br />X2 Does not meet current city standards in some respects relati-ig 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 riot meet current city standards of desron, cunstructic,n or location, is being overused, or is failing to <br />1-14 properly treat and dispose of the current i iput 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 REOJIRED: <br />Septic tanks must be pumped within 48 hours. <br />ElDrainfield must be repaired or replaced within 90 days. ` <br />Inspection riser (4" diam. pipe) must be installed in each tank. C�JC�t"T TI", Ir <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 slip <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 />Date of Inspection Septic System In or <br />This report mutt be kept on the premises with system location and pumping records. <br />WHITE COPY 1 Inspector's File GOLD CUPY / Homeowner <br />Site Capabilities for <br />Future Expansion <br />❑ <br />Adequate <br />❑ <br />Fair <br />❑ <br />Poor <br />L <br />Inadequcite <br />