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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 �-�/��1�� Or�>►�!!�'� ADDRESS ��?'�1� .Si.t7/1 �. ll/i PERMIT NO.'S. I)�� DATES 7 �� CONTRACTORS � City Ordinance No.210 requires that each on-site sewage treatment syatem in Orono be inspected on a regular besis.The onsite sewage ueatment system at the above address has been inspected and appears to fall into the category checked below. (This is �an existing system ❑ new construction) � � Meets or exceeds current City standards in ali respects relating to deaign,construction,and location.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 conatructed generally in accordance with previous codes.System sppears to be functioning properly;no major upg►ading of the system is required at this time. � 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating adequately st 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,co�struction 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.Please contact the City I�spector to discuss system repair/ replacement procedures. If drainfield repla�ment is necessary,soil testing will usually be required,and a design 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 actionl Tank inspection indicates: �Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate m�surement of solids eccumulation.) If ta� ❑ Solids aecumulation in tanks indicates they should be pump� 'fi9ve not been um o r ears,they ed out this year to help prevent future problems. shoul be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drai field mspection in ica . should be pumped out as soon as possibte. �Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge, ❑ �reinfield is saturated and visibly discharging untreated ❑ Inspection risera missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risera (4"dia.pipe)must be instslled in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks 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 unk�own. SITE CHARACTERISTICS: Limiting Site Facto�s Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) 4Adequate ❑ High water table �Low `��-Fair ❑ Lot size Medium �Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate O Drainage ❑System is causing visible surf di arge. COMMENTS: 1� � S P � p 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 tra�sfer 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 information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner