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�I ; On the North Share o f '� Lake Minnetonka �-SITE SEWAGE T EATMENT INSPECTION RE,ORT � ' POST OFFICE BOX 66 � . � � 1335 S. Brown Rd. Crystal Bay,MN 55323 473-7357 �WNER ' � �� ADDIRESS ��,I�//[Ih ��!` PERMIT NO.'S. �� DATES �� -� CONTRACTORS �vl�✓�� `� City Ordinance No,21 requires that each on-site sewage treatment syqtem in O�ono be inspected on a regular basis.The on3ite sewage treatment system at the above ress has been inspected and eppears to fall in�o the caCegory checked below. (Tfiis is � existing system ❑ new construction) - � � Meets or ex ds current City standards in all respects relatir�g to design,construction,and location.Appears to be operating properly. • I'C�'2 Does not me t all current City standards for new construcyion (197�$ Code) but in most respects appears to be designed, J�,�• located, and Onstructed generally in accordance wiih previoys codes.�System appears to be functioning properly;no major upgreding of t e system is required at this time. � 3 Does not mee current City standards in many respects relating to de9ign,construction,or location.Appears to be operating adequately at his time, but has a relatively higri potential fot future problems. No major upgrading of system is required at this time. � 4 System may , may not meet current City standards for desibn,consLruction or location, but is failing to properly treat and dispose of the icurrent input,and is endangering a water supppy,or is Is source of pollution to surface or groundwaters,or is creating a saf y hazard,or is otherwise creating a public nui nce.Please contact the City Inspector to discuss system repair/ replacAment p cedures. If drainfield replacement is necessa�soiF tea'ting will usually be required,and a desig�and site plan must be submi ted for review.Your contractor must obtai�a p�rmit before work is started. SYSTEM CONDITION (m Ch cked items may require your action) I I Tank inspection indicates: ❑IlnspectiOn pipe is located directly over tank baffle.(Does not ��Pumpout not needed at is time. �give accwrate measurement of solids accumulation.) If tanks Solids aecumulation in nks indicates they should be pump- �have no; been pumped out within the last three years,they ed out this year to help event future problems, ishould be pumped out now. ❑ Solids accumulation in tanks is at a critical level, Tanks Drainf�eld inspection indicates: ahould be pumped out as soon as possible. ��rainfielkl is dry,no surfacing evident. ❑ System is discharging t surface. Tanks must be pumped ❑ ome evidence of surfacing,not critical yet. within 48 houro to elimi te surface discharge. ❑ IDrainfield is seturated and visibly discharging untreated ❑ Inspection risers miui —tanks could not be inspected. bffluent to the surface. This condition mey require replace- Inspection risera (4"dia. pipe)must be installed in each tank ment or!additions to drainfield. Contact the City I�spector . at next pumpout. If tan have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they ould be pumped out now. ❑ DrainfielH extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil typea,water Future Expansion ❑ Soil table and system condi�ion) �Adequate ❑ High water table � Low Fair ❑ Lot size ' Medium O Poor O Lake,wetland,or stream � High ❑ Inadequate ❑ Drainage , ❑System is ceusingjvisible surface dischar .� COMMENTS: ��f � � / ►� � .� ,. � ate of Inspection pt�c System Inspector i Note: In the event that this ins ction report is used to satisfy the requiremen{s for a rrhortgage or other transfer of property,be advised that this report does not guarantee o' certify that an existing system will continue tlo functiOn properly,but is merely an opinion of the adequacy of the system under current con �tions based on the available inform8tian. i ' Thi report must be kept on the premises with syste locatiqn and pumping records. WHI IE COPY/Inspector's File G(JLD COPY!Homeowner � f � �