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On the North Shore of <br /> Lcake Minnetonka <br /> ON-SITE SEWAGE TREATMENT <br /> INSPECTtON REPORT � POST OFFICE BOX 66 <br /> � . � � 1335 S. Brown Rd. <br /> Crystal Bay, MN 55323 <br /> 473-7357 <br /> OWNER ` - ��� '�'�+' , T�- �����1DDRESS I a, , �f�r �''�'. <br /> PERMIT NO.'S. � DATES '- 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 /> treatment system 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 all respects relating to design,consuuction,and location.Appears to be operating <br /> properly. <br /> � 2 Does not meet alI 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 many respects relating to design,construction,or location.Appears to be operating <br /> adequately et 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 properly 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 ereating a public nuisance.Please contact the City Inspector to discuss system repair/ <br /> replacement procedu�es. If drainfield replacement is necessary,soil testing will usualty 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 inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not <br /> ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) 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 pum�d out now. <br /> ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: <br /> should be pumped out as aoon as possible. ❑ Drainfield is dry,no surfacing evident. <br /> ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. <br /> within 48 hours to eliminate surface discharge. � Drainfield is saturated and visibly discharging untreated <br /> �Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- <br /> Inspection risers (4"dia.pipe)must L�installed in each tank ment or additions to drainfield. Contact the City Inspector <br /> at next pumpout. If tanks have not been pumped out within immediately. <br /> the last three years,they should be pumped out now. ❑ Drainfield 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 O Medium �Poor <br /> ❑ Lake,wetland,or stream ❑ High ❑ Inadequate <br /> ❑ Drainage �System is causing visible <br /> .� surface discharge. <br /> COMMENTS: �/v� P�'P.(/'h� T/�.S sycr� r���- � eo�lrv ��c� <br /> LI�1��'Y'� �JIM� /.� UV�+cS �NS'?-�.—��� , �tTzl �'�►�Z �A-� ��J <br /> 20����a � /'iea�P�ex-� L� Y�.u�7-' � Nti@�� �3 <br /> �- � -�7 pc�r 1/ !R 87 , <br /> Date of Inspection Septic y m 1 spector � <br /> Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other t ansfer of properfy,be a " d that <br /> �is 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 systern under current conditions 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/Nomeowner <br /> , <br />