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On the North Shore of <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 � � �''�IVf''/'�q lYl P . , <br /> !,� ADDRESS �� -S�(�rn L� <br /> PERMIT NO.'S. r�� DATES CONTRACTORS —" <br /> City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage <br /> ueatment system at the abovs address has been inspected and appears to fall into the category checked below. <br /> (This is � an existing systert► ❑ new construction) <br /> � � Meets or exceeds current City standards in ali respects relating to design,construction,and locetion.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 /> loceted, and constructed generelly in accordance 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 desig�,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 /> � System may or may not meet current City sta�dards for design,construction ot location,but is failing to properly treat and <br /> 4 dispose of the current input,and is endangering a water suppty,or is a source of pollution to surface or groundwaters,or is <br /> creating a safety hazard,or is otherwise cr@ating a public nuisance.P�ease 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'nspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not <br /> �Pumpout not needed at this time, give accurate measurement of solids accumulation.) If tanks <br /> Solida accumulation in tanks indicates they should be pump- have not been pumped out within the last three yesrs,they <br /> ed out thia year to help prevent future problems. should be pumped out now. <br /> ❑ Solida accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: <br /> should be pumped out as soon as possible. ❑ Orainfield is dry,no surfacing evident. <br /> ❑ System is discharging to surface. Tanks must be pumped O Some evidence of surfacing,not critical yet. <br /> within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated <br /> ❑ Inspection risen misting—tanks could not be inspected. effluent to the surf�e. This condition may require replace- <br /> Inspection risen (4"dia. pipe)must be installed in eech tank ment or additions to drainfield. Contact the City Inspector <br /> et next pumpout. If tenks have not been pumped out within immediately.Repairs must be completed within 90 days. <br /> the last three years,they should be pumped out nOw. �'Drainfield extent and condition unknown. <br /> SITE CHARACTERISTICS: <br /> Limiting Site Factors Potential for System Failure Site Capabilities for <br /> ❑ Slope (dePends on aoil types,water Future Expansion <br /> ❑ Soil table,and system conditio�) � Adequate <br /> ❑ High water table Q Low �air <br /> � Lot size •�-Medium Poor <br /> ❑ Lake,wetland,or stream ❑ High ❑ Inadequate <br /> ❑ Drainage ❑System is causing visible <br /> surface discharge. <br /> COMMENTS: <br /> ��9 91 <br /> Date of Inspection eptic System Inspector <br /> Note: In the event that this inspection report is used to setisfy the requirements for a mortgage or other transfer of property,be advised that <br /> this report does not guara�tee or certify that an existi�g system wilt continue to functio�properly,but is merely an opinion of the adequacy <br /> of the systert►under current conditions based on 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 />