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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 � ADDRESS _l,,l��� � <br /> PERMIT NO.'S. �� DATES ��U, 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 systert►at the above address has been inspected and appears to fall into the category checked below. <br /> (This is �an existing system ❑ new construction) <br /> � � Meets or exceeds current City standards in aii respects relating to design,construction,end location.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 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 m�y 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 property treat and <br /> dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is <br /> creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/ <br /> replacement procedures. If drainfietd 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 i�apection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not <br /> ❑ Pumpout not needed at this time. give accurate measurement of solids accumulatio�.) If tanks <br /> ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they <br /> ed out this year to help prevent future problems. should be pumped out now. <br /> ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: <br /> should be pumped out es soon 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 eliminate surfac�e discharge. !���rainfield is saturated anr� ���:ti�y • - <br /> � �Inspection risera missing—tanks could not be inspected, effluent to the surface. This condition mav reouire re�lace- <br /> Inspection risero (4"dia.pipe)must be installed in esch tank men or a �i�ons to drainfield. Contact the City Inspector <br /> at next pumpout. If tanks have not been pumped out within immediately Repairs must como e s <br /> the last three years,they should be pumped out now. ❑ Dram ie extent and condition unknown. <br /> SITE CHARACTERISTICS: <br /> Limiting Site Factors Potential for System Failure Site Capabilities for <br /> ❑ Slope (depends on soil types,water Future Expansion <br /> ❑ Soil table,and system condition) ❑ Adequate <br /> ❑ High water table ❑ Low �-Fair <br /> ❑ Lot size ❑ Medium ❑Poor <br /> ❑ Leke,wettand,or stream Q High ❑ Inadequate <br /> ❑ Drainage �6ystem is causing visible <br /> surface discharge� � / � <br /> COMMENTS: �✓� �� � �.'`„� d 'e� CPi(/C/� ✓ <br /> � / v. � <br /> ✓ <br /> . <br /> �-ia�� <br /> Date of Inspection Septic 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 not 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 conditio�s 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 />