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On the Nortb Sbore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay,MN 55323 473-7357 OWNER ��✓� ;1/'CSS ADDRESS ! �'v ��U� �01YK 1C� PERMIT NO.'S. ;��- DATES CONTRACTORS '— City Ordinance IVo,210 requires that each on-site sewage ueatment system in Orono be inspected on a regular basis.The onsite sewage veatment system at the above address has been inspected and ep�ars to fall into the category checked belowr. (This is L� an existing system ❑ new consuuction) � � Meets or exceeds current City stendards in all respects relating to design,construction,and location.Appears to be operating properly, � 2 Does not meet all current City standards for new canstruction (1978 Code) but in most respects appears to be designed, located, and constructed ganerally in accordance with previous codas.System ap�ars to be functioning properly;�o major upgrading of the system is required at this time. �3 Does not meet current City stendards in many respects releting to design,construction,or location.Appears to be ope�ating 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 ot location,but is failing to properly treat and dispase 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 e public nuisence.Please contect the City Inspector to discuss system repair/ repiacement procedures. If drainfield�epiacement 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 indic�t�: ❑ Inspection pipe is located directly over tank baffle.(Does not '�`Pumpout not needed at this time. give sccurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should�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 eccumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: shouid be pum�d out as soon as possible. ❑ Drainfteid is dry,�o surfacing evident. ❑ System is discharging to sw-face, Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. withi�48 hours to eliminate surface discharge. ❑ Drainfield is seturated and visibly discharging untreated O Inspection risers missing—tenks could not be inspected, effluent to the surface. This condition may require repface- Inspection risers (4"dia.pipe)must be installed in each tank ment or additions to drainfield. Contact the City Ins�ctor at next pumpout. If tanks have not been pumped out within immediately.Repairs must L�completed within 90 days. the Iast 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,weter Future Expansion ❑ Soil table,and system condition) ❑ Adequate ❑ High water table ❑ Low �Fair ❑ Lot size �Medium ❑Poor ❑ Lake,wetland,or stream O High ❑ Inadequate ❑ Dreinage ❑System is causing visible / surface discharge. COMMENTS: � � � � h � � � 4 !� d'7 �G � �� '� d,�,�.e✓�I� yav .�/�L/�P Date of Inspection Septic System Inspector 1�� S �N� rN� 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 existing systern will continue to function property,but is merely an opinion of the adequacy.F�,��Ov of the system under current co�ditions based on the available information, This report must be kept on the premises with system location and pumping records, f'lGl✓e �� WHITE COPY/Inspector's File GOLD COPY/Homeowner t�j�� J)!/� (s��