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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 /�� ADDRESS l PERMIT NO.'S. �.��_ DATES /��!/ CONTRACTORS City Ordinance No, 210 requires that each on-site sewage treatment system in Orono be i�spected on a regular basis.The onsite sewage treatment system at the above address has been inapected and appears to fall into the category checked below. (This is ❑ an existing system�.new construction) �� Meets or exceeds current City standards in all respecu relating to deaign,co�struction,and tocation.Appean 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 appea►s to be functioning properly;no major upgrading of the system is required at this time. � 3 Dces 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 problems. No major upgrading of system is required at this time. � 4 System may or may not meet current City standards for design,construction or location,but is failing to properly treat and dispose of the curre�t 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 Inspector to discuss system repair/ reptacement 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 atarted. SYSTEM CONDITION (m Checked items may require your action) 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 accumulation.) If tanks ❑ Solids accumulation in tanks indicetes they should be pump- have not been pumped out within the I�t three yea►s,they ed out this year to help prevent future problems, should be pumped out now. ❑ Solids eccumulation in tanks is at a critical level. Tanks Drain 'eld inspection indicetes: should be pumped out as aoon as posaible. �.Dreinfield is dry,no surfacing evident. ❑ System is diacharging to surface. Tanks must be pumped O Some evidena of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfietd ia saturated and visibly discharging untreated ❑ Inspection risen missing—tanks could not be inspected, effluent to the surface, This condition may require replace- Inspection risera (4"dia. pipe)must be instsNed in each ta�k 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. ❑ Drainfietd extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope Idepends on soil types,water Future Expansion ❑fSoil table and system condition) �Adequate �High water table �1.ow ❑ Fair ❑ Lot size ❑ Medium ❑Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: �—(J"/OC Date of Inspection Septic System Inspector 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 this report does not guarantee or certify that an exisfing 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