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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the ,Vorth Snore of <br />rake ,Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />_ONO Crystal Bay, MN 55323 <br />473.7357 <br />OWNER__ <br />(2t c�a A�►� <br />2F �syn1 - -- <br />- - ADDRESS ___19'_/0 <br />Lt LAA I?d <br />PHONE <br />-- <br />PERMIT NO'S. <br />IC, ?1-/---'2 <br />DATES _,2-9111-i hw-/-3 ZK <br />City Ordinance No. 210 requires that each onsite sewage treatment system in Orono be inspected on a regular basis. <br />The on-site selvage treatment system at the above address has been inspected and appears to fall into the category checked <br />below: <br />❑ <br />Meets or exceeds current city standards in all respects relating to design, construction, and locL(ion. <br />to be operating properly. <br />Appears <br />El <br />Does not meet current city standards in some respects relating to design, construction, or location. <br />to be operating properly. <br />Appears <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, constriction 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, i; 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 REQUIRE <br />❑ Septic tanks must be pumped within 48 hours. <br />❑ Drainfield must be repaired or replaced within 90 days. <br />© Inspec -un 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 />COMMENTS: ov <br />Potential for Systern 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 />jo 20- is <br />Date of Inspection Septic�System Inspector <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 />❑ Adequate <br />[•�C Fair <br />❑ Poor <br />❑ Inadequate <br />