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O�a the North Shoye o f <br /> Lake Minnetorzk�r <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 /> v'� <br /> OWNER ���� -�M�� n ' "���� � ADDRESS 3y2� t��s ���� ���� <br /> .— — -_ <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 reguiar basis.The on-site sewage <br /> treatment system at the above address has been inspected and appears to fail 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 tor future problems. No major upgrsding of system is required at <br /> this time. <br /> � 4 System may or may �ot 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 public nuisance.Please contact the City Inspector to discuss system repair/ <br /> replacement procedures. If drainfield replacement is necessary, soil testing wil! 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 ipspection indicates: �Inspection pipe is located directly over tank baffte. (Does not <br /> �a'Pumpout not needed at this time. • give accurate measurement of solids accumulation.) If tanks <br /> ���. <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. <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 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 tabie,and system condition) �dequate <br /> ❑ High water table ❑ Low Fair <br /> ❑ Lot size �Medium ❑ Poor <br /> ❑ Lake,wetland,or stream ❑ High ❑ Inadequate <br /> ❑ Drainage ❑ System is causing visible <br /> surface discharge. <br /> COMMENTS: S�Z�S Br T�-NKs , /��2�p� C�� Dk'A'!�l�lE`'L� U1�U�'-.�6DwN B��� <br /> i� �vtNC77onJl�vr� /�i�F'er�L`1 A-'7'� �iS T/H-t�. <br /> �, <br /> �1�- C� .� - - <br /> Date of Inspection Septic System Inspector /' <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 �ot guarantee or certify that an existing system will continue to functio�properly,but is mereiy an opinion of the adequacy <br /> of the system 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/Homeowner <br />