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On the North Sbore 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 �7/j/�� C ��I� ADDRESS ' ._..- .� � PERMIT NO.'S. DATES CONTRACTORS City Ordinancs No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular besis.The on-site sewage treatment systern 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 all respects relating to design,construction,and locatio�.Appears to be operating properly. � 2 Does not meet all current City sta�dards for new construction 11978 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 upgrading 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 at this time, but has a relatively high potential for future p�oblems. No major upgrsding of system is required at this time. � 4 System may or may not meet current City standards for design,canstruction or location,but is failing to property 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 ereating a public nuisance.Please contect the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement 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 action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Oces not ❑ Pumpout not�eeded at this time. give accurate meesurement of solids accumulation.) If tanks ❑ Solids aecumulation in tanks indicetes 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. ❑ Solids accumulation in tanks is at a critical level. Tanks Drain ield inspection indicates: ahould be pumped out es soon as possible, �Drainfield is dry,no surfacing evident. O System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to elimi�ate surface discharge, ❑ Drainfield is aaturated and visibly discharging untreated ��Inspection ri�rs missing—tanks could not be inspected, effluent to the surfacA. This condition may require replace- Inspection �isera 14"dia. pipe)must be installed in each ta k ment or sdditions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pum ut within immediately.Repairs must be completed within 90 dsys. the last three years,they should be pumped out now. O Orainfie�d extent and co�dition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Futur Expansion ❑ Soil table,and system condition) �Adequate ❑ High water table ❑ Low ❑ Fair ❑ Lot size �Medium ❑Poor ❑ Lake,wetland,or stream ❑ High 0 Inadequate ❑ Drainage ❑System is causing visible surface d'scharge. / / COMMENTS: � �� Date of Inspection eptic System Inspector Note: tn 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 property,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