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On the North Shore of Lake�linnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 OWNER _,/�iiOS 1F'T�7//c�a �3r I'CY ADORESS _�� /VZ��2L�� (.�r� PERMIT NO.'S. —R-� DATES ��o/ CONTRACTORS �� C. City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inapected on a regular basis.The on3ite sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is �an existing system ❑ new construction) � � Meets or exceeds current City standards in atl respects relating to design,constructio�,a�d location.Appears to be operating properly. � 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previous codes,System appea►s to be functioning properiy;�o major upgrading of the system is required at this time. � 3 Does not mest current City standards in many respects relating to desig�,construction,or location.Appears to be operating adequately at this time,but has a relatively high potential for future problems. No major upgradi�g of system is required at this time. � System may or may not meet current City standards#or design,construction or location, but is failing to properly treat and dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION ( m Checked items may require your action) �ank inapection indicates: ❑ Inspection pipe is loceted directly over tank baffle.(Does not �Tumpout not needed at this time, give accurate measureme�t of solids accumulation.) If tanks L1�5olids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to help prevent future problems, should be pumped out�ow. ❑ Solids accumulation in tanks ia at a criticst level. Tanks Drainfield i�apection indicates: should be pumped out es soon as possible. ❑ Drainfield is dry,no surfacing evident. ❑ System is diacharging to surface. Tanks must be pumped C�Some evidence of surfaci�g,not critical yet. within 48 hours to eliminate surface discharge. �••flrainfield is saturated and visibly discharging untreated ❑ Inspection risera miuing—tanks could not be inspected, e uen o e su ace, is con ition may requ�re rep Inspection risera (4"dia. pipe)must be installed in each tank ment or � �e . on c s c or at next pumpout. If tanks have not been pumped out within imme �atelv. enairs must be comp e e wit in ays. the last three years,they should be pumped out now. ❑ D�amf�eld extent and condit�on unknow�. "'�' SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Futu e Expansion ❑ Soil table,and system condition) �Adequate ❑ High water table ❑ Low ❑ Fair ❑ Lot size O Medium ❑Poor ❑ Lake,wetland,or stream [l,High ❑ Inadequate ❑ Drainage '�System is causing visible ur ace d�scharge. L COMMENTS: �x ►s � IS 9� Date of Inspection eptic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opi�ion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner