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I On the North Shore of Lake Minnetonka ON-SITE SEWAGE T EATMENT INSPECTION R PORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � Crystal Bay, MN 55323 473-7357 OWNER �'� AD�RESS ��0 ��°y!'� �,!! � PERMIT NO.'S. DATES 7�� CONTRACTORS LLJ�°�SOI'� �Xc. City Ordinance No. 21 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is ef ¢n existing system ❑ new conatruction) � � Meets or exc�eds current City standards in all respects relating to design,construction,and locetion.Appears to be operating properly. I �2 Does not m�atl current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and nstructed generally in accordance with previqus codes.System appears to be functioning properly;no major upgrading of e syster+n is required at this time. � 3 Does not m�current City standards in many respects relating to design,construction,or location.Appears to be operating adequately att this time,but has a relatively high potential fqr future problems. No major upgrading of system is required at this time. � � 4 System may r may not meet current City standards for design,construction or location, but is failing to properly treat and dispose of th current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is creating a saf ty hazard,or is otherwise creating a public nuieance.Plmase contact the City Inspector to discuss system repair/ repl�ement ocedures. If drainfield replacement is ne�ssany,soil testing will usually be required,and a design and site plan must be su tted for review.Your contractor must obtain a pe�mit before work is started. SYSTEM CONDITION (m C ked items may require your action) Tank.inspection indicates: ❑ Inspection pipe is loceted directly over tank baffle.(Does not �Pumpout not needed at his time, give accurate measurement of solids accumulation.) If tanks ❑ Solids aecumulation in nks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to help revent future problems. should be pumped out now. ❑ Soli� accumulation i tanks ia at a critical level. Tanks Drainfield inspection indicates: should be pumped out soon as possible. '�Drainfield is dry,no surfacing evidenL ❑ System is diacharging o aurface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to elimi ate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection riaera missi —tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risera (4"di pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanNcs have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they'should be pumped out now. ❑ Drainfield extent and condition u�known. SITE CHARACTERISTICS: ' Limiting Site Factors � Potential for System Failure Site Capabilities for ❑ Slope ' (depends on soil types,water Future Expansion ❑ Soil table,and system condition) ❑Adequate ❑ High water table � ❑ Low ❑ Fair ❑ Lot size �-Medium '��Poor ❑ Lake,wetland,or stream� ❑ High ❑ Inadequate ❑ Draina� ❑System is causing visible � surface discharge. COMMENTS: I I 3-/�,Z Date of Inspection Septic System Inspector Note: In the event that this ins ection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee r certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current con itions based on the available information. � Th�s report must be kept on the premises with system location and pumping records. WH E COPY/Inspector's File GOLD COPY/Homeowner i