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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 f� �I►��h! A�DRESS �S /.� J��✓L����'✓ J/l � <br /> PERMIT NO.'S. �`r� DATES �_��o g CONTRACTORS �� <br /> City Ordinance No.210 requires that each on-site 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 eppean to fall into the category checked below. <br /> (This is �an exiating system ❑ new construction) <br /> �� Meets or excced�current City standards in all respects relating to deaign,construction,and locatio�.Appears to be operating <br /> properly. - <br /> � 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, <br /> located, and constructed generally in accorda�ce with previous codes.System appears to be functioning properly;no major <br /> upgrading of the system is required at this time. <br /> � 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating <br /> 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 e�dangering a water supply,or is a source of pollution to surface or groundwaters,or is <br /> creating a safety hazard,or is othervvise creating a public nuisence.Please contact the City Inspector to discuss system repair/ <br /> replacement procedures. If drainfield replacement 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 action) <br /> Tank inspection indicates: ❑ Inapectio� pipe is located directly over tank baffle.(Does not <br /> �Pumpout not needed at this time, give accurate measurement of solids accumutation.) If 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 yeer to help prevent future problems. should be pumped out now. <br /> ❑ Solids accumulation in tanks is at a criticel level. Tanks Drainfield inspection indicates: <br /> should be pumped out as aoon as possible, �-Drainfield is dry,no surfacing evident. <br /> ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfaci�g,not critical yet. <br /> within 48 hours to elimi�ate surface discharge. ❑ Dreinfield is saturated and visibly discharging untreated <br /> ❑ Inspsction risers missing—tanks could not be inspected, effluent to the surface, This condition may require replace- <br /> Inspection risers (4"dia.pipe)muat be instelled in each tank ment or edditions to drainfield. Contact the City Inspector <br /> at next pumpout. If tanka have not been pumped out within immediately.Repairs must be completed within 90 days. <br /> the last three yean,they should be pumped out now. ❑ Drsinfield extent and condition unknown. <br /> SITE CHARACTERISTICS: <br /> Limiting Site Fectors Potential for System Failure Site Capabilities for <br /> ❑ Slope (depends on soil types,water Futu e Expansion <br /> ❑ Soil table and system condition) �Adequate <br /> �-High water table �Low O Fair <br /> ❑ Lot size ❑ Medium �Poor <br /> ❑ Lake,wetland,or stream ❑ High ❑ Inadequate <br /> ❑ Drainage ❑System is causing visible <br /> surface discharge. <br /> COMMENTS: <br /> 7��-�1 <br /> Date of Inspection ptic System Inspector <br /> 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 <br /> this report does�ot 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 o�the available information. <br /> This report must be kept on the premises with system location and pumping records. <br /> WHITE COPY/Inspector's File GOLD COPY/Homeowner <br />