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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 a � �"► PERMIT NO.'S. DATES /�a��$7 CONTRACTORS P �� City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be i�spected on a regular basis.The onsite sewage ueatment system 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 stendards in all respects relating to design,construction,and location.Appea�s to be operating properly. � 2 Does not meet alt current City standards for new constructio� (1978 Code) but in most respects appears to be designed, Iocated, 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 atandards in many respects relating to design,construction,or locatio�.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 desig�,construction or location,but is fai�ing to properly 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 creating a public nuisance.Please contact 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) ,Tan�kJ'nspection indicetes: ❑ Inspection pipe is located directly over tank baffle.(Does not � �Q Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates 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. ❑ Sotids accumulation in tanks is at a critical level. Tanks Drain ield inspection indicates: should be pumped out as soon as possible. �rainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risen (4"dia.pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector et next pumpout. If tenks have not been pumped out within immediatety.Repairs must be completed within 90 days. the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Fut�uj e Expansion ❑ Soil table,and system conditio�) '�I-Adequate ❑ High water table �L.ow � Fair ❑ Lot size b Medium O Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible urface disch ge. / COMMENTS:� � �� i� 'P! R �C7C�T �l�-�� - Date of Inspection eptic 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 existi�g 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