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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 ��L�7i°l1 +c-/A�y�°`�S ADDRESS �--"" S,uJX.?� i7�7v e�G�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 inspected and appears to fall into the category checked below. (This is � an existing systern ❑ new construction) � � Meets or exceeds current City siandards in ali respects relating to design,conatruction,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 upgrading of the systern 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 problems. No major upgradi�g 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 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 othervvise 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) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Dces not ❑ Pumpout not needed at this time. give accurate measureme�t 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. ❑ Solida accumulation in tanks is at a critical level. Tanks Drainfield i�spection indicatea: should be pumped out as soon es possible. ❑ Drainfield is dry,no surfacing evident. '�System is discharging to surface. Tanks must be pumped Some evidence of surfaci�g,not critical yet. wi m urs o e iminate su a� isc arge, �Drainfield is saturated and visibly discharging untreated ❑ Inspect�on nsers — n s c not be inspected. effluent to t e su � n ition ma re u�re re ace- Inspection risera (4"dia.pipe)must be installed in each tank ment or additions to rainfield. Contact th at next pumpout. If tanks have not been pumped out within immedietely. epa�rs must completed within 90 da s. the last three years,they should be pumped out now. ❑ ram �e extent an con ition un nown. SITE CHARACTERI�TICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (dePends on soil types,water Future Expansion ❑ Soil table,and system condition) ❑Adequate ❑ High water table ❑ Low �Fair ❑ Lot size ❑Medium O Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage �-System is causing visible surface discharge. COMMENTS: �l�-91 Date of Inspection ptic 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 opi�ion of the adequacy of the system under curre�t 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