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On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � . � � 1335 S. Brown Rd. Crystal Bay,MN 55323 473-7357 OWNER „L�Y1y�r `-' �� ADDRESS f�0 ��"%- �� PERMiT NO.'S. � DATES 1��-�I CONTRACTORS T�,L-lJ�� '�� City Ordinance No.210 requires that each onsite aewage treatment system i�Orono be inspected on a regular basis.The onaite sewage trestment system at the above addrea h�been inspected and appeara to fall into the category checked below. (Tnis is � an existing system ❑ new construction) � � Meets or exceedt current City stsndards in all respects relating to deaign,constructio�,and locetion.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 co�structed generally in accordanc�e with previous codea.System appears to be functio�ing properly;no major upgreding of Me system is required at this time. ' � 3 Does not meet current City atanderda in ma�y reapects relating to design,construction,or location.Appears to be operating adequately at this time,but has a relatively high potential for future problema. No major upgrading of system is required at thia time. � 4 System may or may not meet current City standards for 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.Pleese contect the City Inspector to discuss system repair/ replacement procedures. If drainfield replecement is necesaary,soil testing will usually be required,and a design and site plan muat be submitted for review.Your controctor must obtain a permit before work is atarted. SYSTEM CONDITION ( m Checked items may require your action) Tank inspection indicatea: � � Inapection pipe is located directly over tank beffle.(Does not ❑ Pumpout not needed at this time. give accurate m�urement of solids eccumulation.) If tanks ❑ Solida accumulation in tanks indicatea they should be pump- have not been pumped out within the lest three years,they ed out this year to help prevent future proWema. ahould be pumped out now. ❑ Solids accumulation in tanks ia at a critical level. Tanks Drainfield inapection indicates: should be pumped out�soon ss poasible. Q� Drainfield is dry,no surfacing evident. ❑ System is diacharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 houn to eliminate surface discharge. ❑ Drainfield is aeturated and visibly discharging untreated O Inspection risere miasing—tanks could not be inapected, effluent to the surfacx. 7his condition may require replace- Inspection risera (4"dia.pipe)muat be installed in each tank ment or additiona to drainfield. Contact Me City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the laet three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. 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 � Drainage ❑System is causing visible surface diacharge. l i l COMMENTS: W � � /�/ CJh(�' Sha/� t° DLIt?��d�i�i1 e __7_ /4`90 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 opinion of the adequacy of the system under current conditions based on the available informatio�. This report must be kept o�the premises with�ystem location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner