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ON SITE SEWAGE TREATMENT <br />-------INSPECTION REPORT------- <br />On the North Shore of ----- <br />Lake Minnetonka <br />ORONO <br />OWNER ADDRESS <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <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 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 />I I 2 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 />n 3 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 pollutinn. 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 drain!leld replacement is necessary, soil testing wilt usually be required, and a design and site plan <br />must be submitted for review. Your contractor must obtain a permit before work is stjMed. <br />SYSTEM CONDITION ((2 Checked Items may require your action) <br />Tank Inspection indicates: <br />□ Pumpout not needed at this time. <br />fl-Solids accumulation In tanks indicates they should be pump­ <br />ed out this year to help prevent future problems. <br />□ Solids accumulation in tanks Is at a critical level. Tanks <br />should be pumped out as toon as possible, <br />□ System Is discharging to surface. Tanks must be pumped <br />within 48 hours to eliminate surface discharge. <br />D Inspection risers missing-tanks could not be Inspected. <br />Inspection risers (4" dia. pipe) must be installed in each tank <br />at next pumpout. If tanks have not been pumped out within <br />the last three years, they should be pumped out now. <br />□ Inspection pip;r is located directly ov«r tan^. baffle. (Does not <br />give accurate measurement of solids accumulation.) If tanks <br />have not been pumped out within the last three years, they <br />should be pumped out now. <br />Orainfield inspection indicates; <br />^ Orainfield is dry. no surfacing evident. <br />U Some evidence of surfacing, not critical yet. <br />□ Orainfield is saturated and visibly discharging untreated <br />effluent to the surface. This condition may require replace­ <br />ment or additions to drainfield. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />□ Drainfield extent and condition unknown. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />□ Slope <br />□ Soil <br />S’High water table <br />□ Lot size <br />□ Lake, wetland, or stream <br />□ Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />tabl^and system condition) <br />& Low <br />G Medium <br />□ High <br />G System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />C0-Adequatc <br />G Fair <br />G Poor <br />G Inadequate <br />COMMENTS; <br />Date of Inspection Peptic 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 not guarantee or certify that an existing system will continue to function properly, but is merely on 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