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� On the North Shore o f <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 �AI�S ��U/�'!A�✓ ADDRESS ���LftY1r1 KO[, <br /> PERMIT N0.'S. DATES CONTRACTORS <br /> City�Ordinance No.210 requires that each on-aite sewage treatment system in Orono be inspected on a regular basis.The on-site sewage <br /> treatment system at the above address has been inspected and appears to fall intb the category checked below. <br /> (This is � an existing system ❑ new construction) <br /> � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating <br /> properly. <br /> � 2 Does not meet all curre�t City standards for new construction (1978 Code) but in most respects appears to be designed, <br /> located, and constructed•generally in accordance with previous codes.System appears to be functioning properly;no major <br /> upgreding of the system is required at this time. <br /> � Dces not meet current City standards in many respects relating to design,construction,or location.Appears to be operating <br /> 3 adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at <br /> this time. <br /> � 4 System may or may not meet current City standards for design,construction or location, but is failing to properly treat and <br /> dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is <br /> creating a safety hazard,or is otherwise ereating a public nuisance.Please contact the City Inspector to discuss system repair/ <br /> replacement procedures. If drainfield replacemenf is necessary,soil testing will usually be required,and a design and site plan <br /> must be submitted for review.Your contractor must obtain a permit before work is started. <br /> SYSTEM CONDITION ( m Checked items may require your actio�) <br /> Tank inspection indicates: ❑ Inapection pipe is located directly over tank baffle.(Does not <br /> ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) It tanks <br /> �Solids aecumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they <br /> ed out this year to help prevent future problems, should be pumped out now. <br /> ❑ Sotids accumulation in tanks is at a critical level, Ta�ks Drainfield inspection indicates: <br /> should be pumped out as soon as possible. �$ Drairtfield is dry,no surfacing evident. <br /> ❑ System is discharging to surface. Tanks must be pumped tl Some evidenc�of surfacing,not critical yet. <br /> within 48 hours to eliminate surface discharge. ❑ Drainfield ia saturated and visibly discharging untreated <br /> ❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- <br /> Inspection risero (4"dia.pipe)must be instslled in each tank ment o� additions to drainfield. Contact the City Inspector <br /> at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. <br /> the last three years,they should be pumped out now. . ❑ Drainfield extent and condition unknown. <br /> SITE CHARACTERISTICS: <br /> Limiting Site Factors Potential for System Failure Site Capabilities for <br /> ❑ Slope (depends on soil types,water Future Expansion <br /> ❑ Soil table,and system condition) �Adequate <br /> ❑ High water table �Low ❑ Fair <br /> ❑ Lot size �Medium ❑ Poor <br /> ❑ Lake,wetlaod,or stream ❑ High ❑ Inadequate <br /> O Drainage ❑System is causing visible <br /> surface discharge. <br /> COMMENTS: <br /> 7--��Q <br /> Date of Inspection Septic System Inspector <br /> Note: In the event that this inspection report is used to satisfy the requirements for a mo'rtgage or other transfer of property,be advised that <br /> this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy <br /> of the system under current conditions based on the available information. <br /> This report must be kept o�the premises with system location and pumping records. <br /> WHITE COPY/Inspector's File GOLD COPY/Homeowner <br />