On the North Shore o f
<br /> Lake�Yfi�a�zetonka
<br /> ON-SITE SEWAGE TREATMENT
<br /> INSPECTION REPORT � POST OFFICE BOX 66
<br /> � _ � � 1335 S. Brown Rd.
<br /> Crystal Bay, MN 55323
<br /> 473-7357
<br /> �'�� I�? � . ` '
<br /> OWNER o—� J1I�.qw1C�.r'l ADDRESS ��L�`� _�'����� 1�.��<;�%.
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<br /> PERMIT NO.'S. �<'���C� DATES �� - ��✓��� CONTRACTORS �"��•��n� ���'�•
<br /> City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site 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,construction,and location.Appears to be operating
<br /> %� properly.
<br /> � 2 Does not meet all 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 at 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 creating a pubiic nuisance.Please contact the City Inspector to discuss system repair/
<br /> replacement procedures. If drainfield replacement is necessary,soil testing will usually 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 ( � 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 pumped out now.
<br /> ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: !
<br /> should be pumped out as soon as possible. � Drainfield is dry,no surfacing evident� �n ���`xc.m� �'���-)
<br /> ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not criticaTyet.
<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 be 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.Repairs must be completed within 90 days.
<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 tabie ❑ Low ❑ Fair
<br /> O Lot size ❑ Medium ❑ Poor
<br /> Q Lake,wetland,or stream ❑ High ❑ Inadequate
<br /> ❑ Drainage ❑ System is causing visible
<br /> surface discharge.
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<br /> COMMENTS: , �� 'eCZ���1 `r�A�I�1 1(1� LXJ��("1 C_ ��(�.i'� �(-,`= TG� I�l� 4 Ca tl`�
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<br /> Date of I nspection Septic Syst � pector GT�� O t,e,+'v�,�C�,
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<br /> 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
<br /> this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opi�ion of the adequacy
<br /> of the system u�der 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/Homeowner
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