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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 �lY�l �S��UI �70 ADDRESS /7L� .�!� ftVL°, /'�� PERMIT NO.'S. ��'� DATES � CONTRACTORS v City Ordinance No.210 requires Mat 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 eppears to fall into the category checked below. (This is '�an existing system ❑ new conatruction) � � Meets or exceeda current City standards in all respects retating to design,constructio�,and location.Appears to be operating properly. �2 Does not meet all current City standards for new conatruction (1978 Code1 but in most respects appears to be designed, located, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major upgrading of the system is required at this time. � 3 Does not meet current City standards in many respects relating to desig�,construction,or location.Appears to be operating adequately at this time,but has a relatively high potential for future problems. No major upgrading of system is required at this 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 areating a public nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement ia necessary,soil testing wil)usually be required,and a desig�and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION (m Checked items may require your action) Tank i�spection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate m�surement of solids accumulation.) If tanks ❑ Solids aecumulation 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. ❑ Solida eccumulation in tenka is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible, ❑ Orainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped O Some evidence of surfacing,not critical yet. within 48 hours to elimi�ate surface discharge. ❑ Orainfield is saturated and visibly discharging untreated �'�'Ins ctio� ' r missi — ot be ins ect d, effluent to the surface. This condition may require replace- must be instelle in each tenk ment or additions to drainfield. Contact the City Inspector within immediately.Repairs must be completed within 90 days. LI18(8st thraw venrs_thev she�ld he o�mpe(�OUt nOW. L�Drainfield extent and condition unknown. SITE CHARACTERIST�CS: 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,wetla�d,or stream ❑ High � Inadequate ❑ Drainage ❑System is causing visible surface d'acharge. COMMENTS: � �� ✓ +�3 ✓L�✓� � .��..�� d � S-l3�I Date of I�spection Septic System Inspector Note: I� 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 opinio�of the adequacy of the system under current conditions based o�the available information, This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner