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On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � . � � 1335 S. Brown Rd. Crystal Bay, MN 55323 � 473-7357 OWNER R�GTr1 L� C�✓]/1S ADDRESS �IO� .S � 1`7✓�� /1/1 PERMIT NO.'S. � DATES �✓/r �� CONTRACTORS l�t�� City Ordinance No.210 requires that each on-cite sewage treatment system in Orono be inspected on a regular basis.The on-site sewage beatment system at the above addresa hss been inspected and eppean to fall into the cetegory checked below. (This is � an existing system ❑ new construction) � � Meets or exaeeds current City standards in all respects relating to deaign,consuuction,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 constructed generally in accordance with previous codes.System appears to be functioning properly;no major upgrsding of the system is required at this time. D3 Does not meet current City standards in many respects relating to design,construction,or locetion.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 standerds for design,construction or location,but is failing to properly treat a�d diapoae 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�uisance.Ple�e contact the City ��spector to discuss system repair/ replscement procedures. If drainfield replecement is necessary,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) Tenk inspection indicetea: ❑ Inspection pipe ia located directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate m�urement of solids accumulation.) If tanks �.Solids etxumulation in tsnks indicates they should be pump- ha�re �ot been pumped out within the last three years,they ed out this year to halp prevent future problema. ahould be pumped out�ow. O Solida accumulation in tanks ia at a criticsl level. Tanks Drai field inapection indicatea: should be pumped out aa aoon aa posaible. � Drainfield is dry,no surfacing evident. ❑ System is discharging to aurface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Dreinfield is seturated and visiWy diacharging untreated ❑ Inspection risere miasing—tanks could not be inapected, effluent to the aurfece, 7his condition may require replace- I�spection risera (4"dia.pipe)muat be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanka have not been pumped out within immediately.Repairs must be completed within 90 days. the last Mres yesrs,they should be pumped out now. ❑ Drainfield extent and condition unknown. S�TE CHARACTERISTICS Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (�pends on soil types,water Future Expansion ❑ Soil table and system condition) �Adequate O High water table �Low � Fair ❑ Lot size Medium ❑Poor ❑ Lake,wetland,or stream ❑ High . � Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: _ Q Date of Inspection S tic System Inspector Note: In the event that this inapection report is used to satisfy the requirements for a mortgege 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 aveilable information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner