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� On the North Shore of ! Lake�Ninnetonka ON-SITE SEWAGE REATMENT INSPECTION EPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER � A DRESS �� ✓�,n � PERMIT NO.'S. DATES CONTRACTORS ��'1 City Ordinance No. 0 requires that each on-site sewage treatment ystem in Orono be inspected on a regular basis.The onsite sewage treatment system at the abo address has been inspected and appears to fall"nto the category checked below. (This is an existing system ❑ new construction) � � Meets or e ds current City standards in aii respects rel ing to design,construction,and location.Appears to be opereting properly. �2 Does not et all current City standards for new constr ction (1978 Code) but in most respects appears to be designed, located, an constructed generally in accordance with pr ous codes.System appears to be functioning properly;no major upgrading o the system is required at this time. � 3 Does not m et current City standards in many respects rel ting to design,construction,or location.Appears to be operating adequately this time, but has a relatively high potential or future problems. No major upgrading of system is required at this time. � 4 System may or may not meet current City standards for d sign,construction or location, but is failing to properly treat and dispose of t current input,and is endangering a water su ply,or is a source of pollution to surface or groundwaters,or is creating a ety hazard,or is otherwise creating a puWic n isance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replaceme�t is ne ,soil testing will usually be required,and a design and site plan must be su itted for review.Your contractor must obtain permit before work is started. SYSTEM CONDITION ( m hecked items may require your action) Tank'nspection indicetes: Inspection pipe is located directly over tank baffle.(Dces not �Pumpout not needed a this time. give aocurate measurement of solids accumulation.) If tanks Solids 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 now. O Solids accumulatio� i tanks is at a critical level. Tanks Drai field inspection indicates: should be pumped out soon as possible. Drainfield is dry,no surfaci�g evident. ❑ System is discharging o surface. Tanks must be pumped Some eYide�ce of surfacing,not critical yet. within 48 hours to elim hate surface discharge. Drainfisld is saturated and visibly discharging untreated ❑ Inspection risers missi g—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risera (4"di , pipel must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If ta ks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,the should be pumped out now. Drainfield exte�t and condition unknown. SITE CHARACTERISTICSS Limiting Site Factors Potential for System F ilure Site Capabilities for ❑ Slope (dePends on soil types, ater Future Expansion O Soil table,and system cond ion) ❑Adequate ❑ High water table �,low Fair ❑ Lot size ❑Medium �Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causin visible sufface diseharge COMMENTS: I �ate of Inspection epxic System Inspector Note: In the event that this ins ction report is used to satisfy the requiremen for a mortgage or other transfer of property,be advised that this report does not guarantee certify that an existing system will continue functiOn properly,but is merely an opinion of the adequacy of the system under current con itio�s based on the available information. . Thi report must be kept o�the premises with syste location and pumping records. WHI COPY/Inspector's File- GOLD COPY/Homeowner